Individual provider Active NPI

Benette Y. Akpor

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1124918743
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R200408 Issued in MD
Practice address
5123 Ironsides Dr
Frederick, MD 21703-7396
Phone
(240) 314-9869
Fax
(240) 314-9869
NPI assigned
Jul 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X R200408 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R200408 MD Primary

Addresses

Primary practice location

5123 Ironsides Dr
Frederick, MD 21703-7396

Mailing address

5123 Ironsides Dr
Frederick, MD 21703-7396
Phone (240) 314-9869

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R200408MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1124918743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 IRONSIDES DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037396",
            "telephone_number": "240-314-9869",
            "fax_number": "240-314-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 IRONSIDES DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037396",
            "telephone_number": "240-314-9869",
            "fax_number": "240-314-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPOR",
        "first_name": "BENETTE",
        "middle_name": "Y.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "R200408",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.