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DE'TRECE ATALIE LAVENDER NCC. LCPC
NPI 1073274387
Counselor - Professional in Baltimore, MD

Active since January 07, 2022PECOS Enrolled
4904 YORK RD UNIT 4506, BALTIMORE, MD 21212(240) 565-0569(240) 427-9390 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About De'trece Atalie Lavender Ncc. Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DE'TRECE ATALIE LAVENDER NCC. LCPC (NPI 1073274387) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC14772) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073274387
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDE'TRECE ATALIE LAVENDERCredential: NCC. LCPC
Location Address4904 YORK RD UNIT 4506Baltimore, MD 21212-7501
Mailing Address4904 York Rd Unit 4506Baltimore, MD 21212-7501 · (240) 565-0569 · Fax (240) 427-9390
Phone(240) 565-0569
Fax(240) 427-9390
Sole ProprietorNo
Enumeration DateJanuary 7, 2022
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1073274387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC14772
4904 YORK RD UNIT 4506, Baltimore, MD 21212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De'trece Atalie Lavender Ncc. Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 De'trece Lavender's NPI number?

The NPI number for De'trece Lavender is 1073274387. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is De'trece Lavender located?

De'trece Lavender practices at 4904 York Rd Unit 4506, Baltimore, MD 21212. The listed phone number is (240) 565-0569.

What is De'trece Lavender's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is De'trece Lavender enrolled in Medicare?

Yes. De'trece Lavender is registered in the Medicare PECOS enrollment system.

What insurance does De'trece Lavender accept?

Health plans from Providence Health Plan list De'trece Lavender as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for De'trece Lavender was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.