Individual provider Active NPI

Dae'Quawn Landrum, LPC, LCADC

  • Mental Health Counselor
  • Kearny, NJ
National Provider Identifier
1942828629
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00490900 Issued in NJ
Practice address
78 John Miller Way Ste 326
Kearny, NJ 07032-6533
Phone
(908) 864-6342
NPI assigned
Jul 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00490900 NJ Primary

Addresses

Primary practice location

78 John Miller Way Ste 326
Kearny, NJ 07032-6533

Mailing address

78 John Miller Way Ste 326
Kearny, NJ 07032-6533
Phone (908) 864-6342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260626004050 NJ Practitioner - Mental Health Counselor 5395218648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42 E Main St
B
Freehold, NJ 07728-2295

78 John Miller Way
Kearny, NJ 07032-6500

78 John Miller Way
Suite 326
Kearny, NJ 07032-6533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00490900NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Expectations Counseling Mental Health Current Accepting new patients

Locations

78 John Miller Way
Ste 326
Kearny, NJ 07032
Phone (908) 864-6342

Organizations & group practices 1

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1942828629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 JOHN MILLER WAY STE 326",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070326533",
            "telephone_number": "908-864-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 JOHN MILLER WAY STE 326",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070326533",
            "telephone_number": "908-864-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "DAE'QUAWN",
        "name_prefix": "Dr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00490900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

Verify at the official NPI Registry.