Active NPI
Seanta Predum
- Marriage & Family Therapist
- Burtonsville, MD
National Provider Identifier
1992508873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LGM1076
- Practice address
- 3909 National Dr Ste 100
Burtonsville, MD 20866-1192 - Phone
- (240) 755-8089
- Fax
- (202) 271-4444
- NPI assigned
- Mar 28, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM1076 | MD | Primary |
Addresses
Primary practice location
3909 National Dr Ste 100
Burtonsville, MD 20866-1192
Mailing address
14106 Howard Rd
Dayton, MD 21036-1018
Phone (616) 617-0246
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 |
|---|---|---|---|
| LGM1076 | MD | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1992508873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14106 HOWARD RD",
"city": "DAYTON",
"state": "MD",
"postal_code": "210361018",
"telephone_number": "616-617-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 NATIONAL DR STE 100",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661192",
"telephone_number": "240-755-8089",
"fax_number": "202-271-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREDUM",
"first_name": "SEANTA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-28",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MD",
"license": "LGM1076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burtonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.