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BRANDI MUNDIE LCPC
NPI 1417675497
Counselor - Professional in Baltimore, MD

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
4128 HAYWARD AVE, BALTIMORE, MD 21215(410) 357-6599 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Aug 16, 2022 (2 updates tracked since 2022).

About Brandi Mundie Lcpc NPPES

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

BRANDI MUNDIE LCPC (NPI 1417675497) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LC15942) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417675497
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBRANDI MUNDIECredential: LCPC
Location Address4128 HAYWARD AVEBaltimore, MD 21215-4340
Mailing Address4128 Hayward AveBaltimore, MD 21215-4340 · (410) 357-6599
Phone(410) 357-6599
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2022
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1417675497 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 · LC15942
4128 HAYWARD AVE, Baltimore, MD 21215
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brandi Mundie Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769951334
PECOS Enrollment IDI20260513003226
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandi Mundie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maryland Wellness LLC
Same address
Mental Health (Including Community Mental Health Center)
4128 HAYWARD AVE # W
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 28 clinicians in this Medicare group
NPI 1003479668 (410) 994-6491

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL NEUBERGER LCSW-C
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 732-0983
ASHLEE JOYCE CRAWFORD PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (301) 429-6100
MARY AISLING MARTIN LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
CLEMENTINE OKIE
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
SARAH KENNEDY LMSW
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 591-7459
SONIA PERRIER LMSW
Counselor (Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 314-1030
MR. ELIEZER SHULMAN LMSW-MASTER
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (410) 241-6317
IDEAL OPTION, PLLC
Clinic/Center
4128 HAYWARD AVE
BALTIMORE, MD 21215
Baltimore City (877) 522-1275

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 Brandi Mundie's NPI number?

The NPI number for Brandi Mundie is 1417675497. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Brandi Mundie located?

Brandi Mundie practices at 4128 Hayward Ave, Baltimore, MD 21215. The listed phone number is (410) 357-6599.

What is Brandi Mundie's specialty?

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

Is Brandi Mundie enrolled in Medicare?

Yes. Brandi Mundie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brandi Mundie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Mundie reassigns Medicare benefits to Maryland Wellness LLC (Baltimore, MD). 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 Brandi Mundie'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 Brandi Mundie was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.