YULANDA BLACKSTON LGPC
NPI 1003770504
Counselor - Professional in Baltimore, MD
About Yulanda Blackston Lgpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YULANDA BLACKSTON LGPC (NPI 1003770504) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LGP15395) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yulanda Blackston Lgpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yulanda Blackston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80202
- Reassigned Medicare billing, Maryland enrollment
- 179 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21215
BALTIMORE, MD 21215
BALTIMORE, MD 21215
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Yulanda Blackston's NPI number?
The NPI number for Yulanda Blackston is 1003770504. It was assigned to this individual provider in the NPPES registry on December 10, 2025.
Where is Yulanda Blackston located?
Yulanda Blackston practices at 2401 W Belvedere Ave, Baltimore, MD 21215. The listed phone number is (410) 459-3040.
What is Yulanda Blackston's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Yulanda Blackston enrolled in Medicare?
Yes. Yulanda Blackston is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yulanda Blackston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yulanda Blackston reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yulanda Blackston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yulanda Blackston was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Yulanda Blackston, LGPC · NPI 1003770504
Professional provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since December 10, 2025.
## Identity
- **NPI:** 1003770504 (Entity type: Individual)
- **Enumerated:** December 10, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LGP15395 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 W BELVEDERE AVE, Baltimore, MD 21215-5216
- **Phone:** (410) 459-3040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sondermind Provider Network LLC (NPI 1760854442, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003770504) · Data from the CMS NPPES public registry.