LAVI
NPI 1700467222
Counselor - Professional in Waldorf, MD

Active since April 16, 2021
10670 SOURWOOD AVE, WALDORF, MD 20603(301) 579-4854 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2021, Aug 2, 2021, Apr 16, 2021 (3 updates tracked since 2021).

About Lavi NPPES

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

LAVI (NPI 1700467222) is a healthcare organization registered as a professional in Waldorf, Maryland and active in the NPI registry since April 2021. The organization lists Yolanda Hayes, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1700467222
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLAVI
Location Address10670 SOURWOOD AVEWaldorf, MD 20603-5716
Mailing Address10670 Sourwood AveWaldorf, MD 20603-5716 · (301) 579-4854
Organization SubpartNo
Authorized OfficialYolanda HayesCredentialing Specialist · (443) 345-1317
Enumeration DateApril 16, 2021
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1700467222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
10670 SOURWOOD AVE, Waldorf, MD 20603

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lavi, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1013414762
10670 SOURWOOD AVE
Waldorf, MD 20603
(301) 520-5790
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lavi's NPI number?

The NPI number for Lavi is 1700467222. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Lavi located?

Lavi is located at 10670 Sourwood Ave, Waldorf, MD 20603. The listed phone number is (301) 579-4854.

What is Lavi's specialty?

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

Is Lavi enrolled in Medicare?

Yes. Lavi is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lavi?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Lavi. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lavi was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.