Manuela Mbouma, LGPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP8691 Issued in MD

Practice address

2000 Marbury Dr
District Heights, MD 20747-2334

Phone

(301) 336-7600

Fax

(301) 499-2121

NPI assigned

Sep 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: manuela.mbouma.p1@direct.mcg-hhs.nextgenshare.com

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.

• Rooted Therapeutic Center

  • Mental Health Counselor
  • Montgomery Village, MD
  • NPI 1184208407
  NPD Authorized official
• Montgomery County Maryland Government

  dba Adult Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482
  NPD
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  • Adolescent and Children Mental Health Clinic/Center
  • Rockville, MD
  • NPI 1619387933
  NPD
• District Heights Family & Youth Services Bureau

  • Professional Counselor
  • District Heights, MD
  • NPI 1063827061
  NPD (past)
• District Heights Family and Youth Services Bureau

  • Community/Behavioral Health Agency
  • District Heights, MD
  • NPI 1659822906
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1851941256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MARBURY DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472334",
            "telephone_number": "301-336-7600",
            "fax_number": "301-499-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARBURY DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472334",
            "telephone_number": "301-336-7600",
            "fax_number": "301-499-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOUMA",
        "first_name": "MANUELA",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP8691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuela Nick Mbah
• Josephine Kien Mbah
• Victorine Nyoh Mbah
• Gillian Kulemia Mbelika
• Chimene Winnie Mbeutcha
• Bianca McDonald, LICSW
• Dashon McGhee
• Deshanae Michelle Meaders
• Stephanie Michel Fouodji Melachio
• Etongwe Mende

• Professional Counselor in District Heights, MD
• Providers in District Heights, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.