MS. RADIANCE ALLEN SANNEMAN MS, LPC, NCC, CCMHC
NPI 1124647615
Counselor - Mental Health in Fort Washington, MD

Active since April 14, 2020Opted out of Medicare · through Mar 27, 2028
8507 OXON HILL RD STE 200, FORT WASHINGTON, MD 20744(301) 246-0074 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2024, May 3, 2023, Nov 26, 2022 and 3 more (6 updates tracked since 2020).

About Ms. Radiance Allen Sanneman Ms, Lpc, Ncc, Ccmhc NPPES

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

MS. RADIANCE ALLEN SANNEMAN MS, LPC, NCC, CCMHC (NPI 1124647615) is an individual mental health provider in Fort Washington, Maryland, licensed in Maryland (LC12394) and active in the NPI registry since April 2020. She has opted out of Medicare through March 27, 2028 and maintains a secondary practice location in Alexandria.

NPPES Registry Identity

NPI1124647615
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. RADIANCE ALLEN SANNEMANCredential: MS, LPC, NCC, CCMHC
Location Address8507 OXON HILL RD STE 200Fort Washington, MD 20744-4774
Mailing Address8507 Oxon Hill Rd Ste 200Fort Washington, MD 20744-4774 · (301) 246-0074
Sole ProprietorYes
Enumeration DateApril 14, 2020
Last NPPES UpdateMay 14, 20246 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1124647615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MD · LC12394
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701011435 (VA), PRC200001455 (DC)
8507 OXON HILL RD STE 200, Fort Washington, MD 20744

Other Names 1

Former Name (1)Mr. Peter Allen Sanneman Ms, Lpc, Ncc, Ccmhc

Secondary Practice Location 1

Location 1101 S Whiting St Ste 318Alexandria, VA 22304-3416 · Phone (703) 249-9735

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Radiance Allen Sanneman Ms, Lpc, Ncc, Ccmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 27, 2024 through March 27, 2028.

Opt-Out Effective DateMarch 27, 2024
Opt-Out In Effect ThroughMarch 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Nurse Practitioner (Adult Health)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Nurse Practitioner (Psychiatric/Mental Health)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Nurse Practitioner (Psychiatric/Mental Health)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Social Worker (Clinical)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Home Health
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Nurse Practitioner (Psychiatric/Mental Health)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Counselor (Professional)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744
Nurse Practitioner (Psychiatric/Mental Health)
8507 OXON HILL RD STE 200
FORT WASHINGTON, MD 20744

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 Radiance Sanneman's NPI number?

The NPI number for Radiance Sanneman is 1124647615. It was assigned to this individual provider in the NPPES registry on April 14, 2020. The provider is also known as Mr. Peter Allen Sanneman Ms, Lpc, Ncc, Ccmhc.

Where is Radiance Sanneman located?

Radiance Sanneman practices at 8507 Oxon Hill Rd Ste 200, Fort Washington, MD 20744. The listed phone number is (301) 246-0074.

What is Radiance Sanneman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Radiance Sanneman enrolled in Medicare?

No. Radiance Sanneman has opted out of Medicare through March 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Radiance Sanneman accept?

Health plans from UnitedHealthcare list Radiance Sanneman 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 Radiance Sanneman was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.