Active NPI
Lolita C. C. Lumumba
- Counselor
- Cleveland, OH
National Provider Identifier
1952899833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 110574
- Practice address
- 3746 Prospect Ave E
Cleveland, OH 44115-2706 - Phone
- (216) 391-6672
- Fax
- (216) 391-4633
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 110574 | OH | Primary |
Addresses
Primary practice location
3746 Prospect Ave E
Cleveland, OH 44115-2706
Mailing address
3746 Prospect Ave E
Cleveland, OH 44115-2706
Phone (216) 391-6672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110574 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110574 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1952899833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3746 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152706",
"telephone_number": "216-391-6672",
"fax_number": "216-391-4633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3746 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152706",
"telephone_number": "216-391-6672",
"fax_number": "216-391-4633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMUMBA",
"first_name": "LOLITA C.",
"middle_name": "C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "110574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110574",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.