Individual provider Active NPI

Akunna Chisom Ikocha

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1124837810
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R204630 Issued in MD
Practice address
7375 Executive PL Ste 200
Lanham, MD 20706-6234
Phone
(240) 838-6354
Fax
(919) 694-0925
NPI assigned
Jan 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 Practitioner 363LP0808X R204630 MD Primary

Addresses

Primary practice location

7375 Executive PL Ste 200
Lanham, MD 20706-6234

Mailing address

7375 Executive PL Ste 200
Lanham, MD 20706-6234
Phone (240) 838-6354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R204630MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klarity Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Klarity Behavioral Health LLC Psychiatric/Mental Health CurrentSince Apr 13, 2026 Accepting new patients

Locations

7375 Executive Pl
Ste 200
Lanham, MD 20706
Phone (240) 838-6354

6801 Kenilworth Ave
Ste 300
Riverdale, MD 20737
Phone (240) 687-2592

Organizations & group practices 2

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1124837810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066234",
            "telephone_number": "240-838-6354",
            "fax_number": "919-694-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 200",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066234",
            "telephone_number": "240-838-6354",
            "fax_number": "919-694-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKOCHA",
        "first_name": "AKUNNA",
        "middle_name": "CHISOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.