Individual provider Active NPI

Adeline Fonkem Asonganyi, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1093604381
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R243844 Issued in MD
Practice address
4116 Brookside Oaks
Owings Mills, MD 21117-5165
Phone
(443) 750-7028
Fax
(443) 750-7028
NPI assigned
Jul 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R243844 MD Primary

Addresses

Primary practice location

4116 Brookside Oaks
Owings Mills, MD 21117-5165

Mailing address

4116 Brookside Oaks
Owings Mills, MD 21117-5165
Phone (443) 750-7028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250929003244 MD Practitioner - Nurse Practitioner 5092211151 Reassigns benefits to 4 organizations
I20250929003509 DC Practitioner - Nurse Practitioner 5092211151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1500 K St NW
Suite 200
Washington, DC 20005-1264

2232 E Monument St
Baltimore, MD 21205-2431

4116 Brookside Oaks
Owings Mills, MD 21117-5165

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341

PO Box
Suite 9068
Baltimore, MD 21222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R243844MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Paths Mental Health and Wellness Services Single Specialty CurrentSince Apr 11, 2026 Accepting new patients
Integrahealth LLC Single Specialty CurrentSince Sep 12, 2025 Accepting new patients
Spiritual Healing Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Integrahealth LLC Single Specialty CurrentSince Sep 12, 2025 Accepting new patients
Toller Enterprises LLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1093604381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 BROOKSIDE OAKS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175165",
            "telephone_number": "443-750-7028",
            "fax_number": "443-750-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 BROOKSIDE OAKS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175165",
            "telephone_number": "443-750-7028",
            "fax_number": "443-750-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASONGANYI",
        "first_name": "ADELINE",
        "middle_name": "FONKEM",
        "name_prefix": "Mrs.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R243844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.