Raejon Lynne Makonnen, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC #7426 Issued in MD

Practice address

2401 Research Blvd Ste 200
Rockville, MD 20850-3246

Phone

(240) 912-6025

Fax

(240) 912-6130

NPI assigned

Oct 18, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Raejon Lynne Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sah Medical Consulting Inc

  • Family Medicine Physician
  • Rockville, MD
  • NPI 1477732352
  NPD
• Sah Medical Consulting Inc

  • Addiction Medicine (Family Medicine) Physician
  • Rockville, MD
  • NPI 1598652687
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1780135301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503246",
            "telephone_number": "240-912-6025",
            "fax_number": "240-912-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503246",
            "telephone_number": "240-912-6025",
            "fax_number": "240-912-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKONNEN",
        "first_name": "RAEJON",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCPC #7426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114382400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAEJON",
            "last_name": "PARKER",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rami Makhoul, M.D.
• Momoh Makieu
• Shadonna Makle
• Junior Makon
• Makkda Makonen
• Grace A. Malate
• Margaux Malaussena
• Grayson Malcomb
• Betsy Maldonado
• Dylan Maldonado

• Professional Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.