1. Home
  2. Directory
  3. Maryland
  4. Columbia
  5. Nurse Practitioner
  6. NPI Profile

DR. CALEB DAEKYU LEE L.AC,OMD, PMHNP-BC
NPI 1649413758
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MD

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
9861 BROKEN LAND PKWY STE 100, COLUMBIA, MD 21046(410) 213-5233 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Apr 11, 2025, Mar 24, 2025 and 5 more (8 updates tracked since 2023).

About Dr. Caleb Daekyu Lee L.ac,omd, Pmhnp-bc NPPES

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

DR. CALEB DAEKYU LEE L.AC,OMD, PMHNP-BC (NPI 1649413758) is an individual psychiatric/mental health provider in Columbia, Maryland, licensed in Maryland (R253173) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649413758
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. CALEB DAEKYU LEECredential: L.AC,OMD, PMHNP-BC
Location Address9861 BROKEN LAND PKWY STE 100Columbia, MD 21046-3031
Mailing Address9861 Broken Land Pkwy Ste 100Columbia, MD 21046-3031 · (410) 213-5233 · Fax (410) 213-5233
Phone(410) 213-5233
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2009
Last NPPES UpdateOctober 6, 20258 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1649413758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R253173
Also ListedAcupuncturistTaxonomy 171100000X · License U01817 (MD)
9861 BROKEN LAND PKWY STE 100, Columbia, MD 21046
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18005 High Castle RdEllicott City, MD 21043-5517 · Phone (443) 848-0279
Location 25018 Dorsey Hall Dr Ste 104Ellicott City, MD 21042-7856 · Phone (410) 213-5233

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Caleb Daekyu Lee L.ac,omd, Pmhnp-bc 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 ID5597298406
PECOS Enrollment IDI20241031000258
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

INFINITE BLISS LLC
Massage Therapist
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (443) 538-6633
FREDERICK BEHAVIORAL HEALTH SERVICES, LLC
Social Worker (Clinical)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (301) 321-8245
PAMELA LYNN WRENCH
Registered Nurse (Psychiatric/Mental Health, Adult)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (667) 230-5316
CRYSTAL WATERS COUNSELING CENTERS
Counselor (Mental Health)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 925-3202
REVERED-HOLISTIC HEALTHCARE LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 399-4240
JACOB HA FNP-C
Nurse Practitioner
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 401-7575
ADETUTU AWODIPE NP
Nurse Practitioner (Psychiatric/Mental Health)
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (410) 399-4240
RAPID MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
9861 BROKEN LAND PKWY STE 100
COLUMBIA, MD 21046
Howard County (443) 420-3178

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 Caleb Lee's NPI number?

The NPI number for Caleb Lee is 1649413758. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Caleb Lee located?

Caleb Lee practices at 9861 Broken Land Pkwy Ste 100, Columbia, MD 21046. The listed phone number is (410) 213-5233.

What is Caleb Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Caleb Lee enrolled in Medicare?

Yes. Caleb Lee 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.

When was this NPI record last updated?

The NPPES record for Caleb Lee was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.