QWAN NEEDUM – Professional Counselor, NPI 1194181065

QWAN NEEDUM is a healthcare provider. based in Baltimore, Maryland. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for QWAN NEEDUM is 1194181065

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
QWAN NEEDUM
NPI
1194181065
Phone
Not provided
Address
5230 KELWAY RD
Enumeration Date
7 January 2016
Last Update Date
16 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103838300
Graduation Year
2011 (15 years ago)
PAC ID
7214380351
Group Practice PAC ID
0446258487
Professional Enrollment ID
I20240125001131
Address ID
MD212185507BA2400XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,236 MENTAL HEALTH COUNSELOR in MD

Provider Addresses for QWAN NEEDUM

  • 5230 KELWAY RD

    BALTIMORE, MD 212393402

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125001131IMental Health CounselorMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446258487View full group profile

Reviews

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Frequently asked questions

What is the registry number for QWAN NEEDUM?
The registry entry for QWAN NEEDUM shows NPI 1194181065.
Is QWAN NEEDUM currently accepting referrals based on NPI status?
Registry metadata lists QWAN NEEDUM as active.
What services align with QWAN NEEDUM's listing?
QWAN NEEDUM's public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to QWAN NEEDUM?
QWAN NEEDUM shows a connection to Baltimore, Maryland in registry-derived data.
Who maintains QWAN NEEDUM's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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