DR. DAE'QUAWN LANDRUM LPC, LCADC
NPI 1942828629
Counselor - Mental Health in Kearny, NJ

Active since July 09, 2020PECOS Enrolled
78 JOHN MILLER WAY STE 326, KEARNY, NJ 07032(908) 864-6342 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2026, Jun 18, 2024, Jul 9, 2020 (3 updates tracked since 2020).

About Dr. Dae'quawn Landrum Lpc, Lcadc NPPES

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

DR. DAE'QUAWN LANDRUM LPC, LCADC (NPI 1942828629) is an individual mental health provider in Kearny, New Jersey, licensed in New Jersey (37AC00490900) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1942828629
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. DAE'QUAWN LANDRUMCredential: LPC, LCADC
Location Address78 JOHN MILLER WAY STE 326Kearny, NJ 07032-6533
Mailing Address78 John Miller Way Ste 326Kearny, NJ 07032-6533 · (908) 864-6342
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 9, 2020
Last NPPES UpdateFebruary 7, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1942828629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00490900
78 JOHN MILLER WAY STE 326, Kearny, NJ 07032

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dae'quawn Landrum Lpc, Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395218648
PECOS Enrollment IDI20260626004050
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 Dae'quawn Landrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
42 EAST MAIN ST STE 101
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment

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 7

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

Prosthetic/Orthotic Supplier
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Community/Behavioral Health
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Counselor (Mental Health)
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Home Health
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Nurse Practitioner (Psychiatric/Mental Health)
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Community/Behavioral Health
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032
Home Health
78 JOHN MILLER WAY STE 326
KEARNY, NJ 07032

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 Dae'quawn Landrum's NPI number?

The NPI number for Dae'quawn Landrum is 1942828629. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Dae'quawn Landrum located?

Dae'quawn Landrum practices at 78 John Miller Way Ste 326, Kearny, NJ 07032. The listed phone number is (908) 864-6342.

What is Dae'quawn Landrum's specialty?

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

Is Dae'quawn Landrum enrolled in Medicare?

Yes. Dae'quawn Landrum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dae'quawn Landrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dae'quawn Landrum reassigns Medicare benefits to Ideal Expectations Counseling (Freehold, NJ). 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 Dae'quawn Landrum'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 Dae'quawn Landrum was last updated on February 7, 2026. 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.