Individual provider Active NPI

Kyanna Feliciana

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1851837116
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC15354 Issued in DC
Practice address
60 O St NW
Washington, DC 20001-1259
Phone
(202) 235-1930
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC15354 DC Primary

Addresses

Primary practice location

60 O St NW
Washington, DC 20001-1259

Mailing address

12405 Morano Dr
Brandywine, MD 20613-9074
Phone (202) 834-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802002633 DC Practitioner - Mental Health Counselor 2365989779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Kirstin's Haven, IncGroup PAC ID 2264778778, 3 clinicians

Practice addresses (Care Compare)

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

5801 Allentown Rd
Suite 310
Camp Springs, MD 20746-4564
Phone (240) 392-2876

8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (301) 623-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRC15354DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Mar 10, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Mar 10, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1851837116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 MORANO DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206139074",
            "telephone_number": "202-834-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011259",
            "telephone_number": "202-235-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANA",
        "first_name": "KYANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC15354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.