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

Active since August 16, 2022PECOS Enrolled
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: July 26, 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
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brandi Mundie Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 16

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

Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Counselor (Mental Health)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Social Worker (Clinical)
4128 HAYWARD AVE
BALTIMORE, MD 21215
Clinic/Center
4128 HAYWARD AVE
BALTIMORE, MD 21215
Clinic/Center (Mental Health (Including Community Mental Health Center))
4128 HAYWARD AVE
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 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 enrollment system.

When was this NPI record last updated?

The NPPES record for Brandi Mundie was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.