Active NPI
Conquest Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- CONQUEST HEALTH LLC
- Practice address
- 12311 Snowden Woods Rd
Laurel, MD 20708-2492 - Phone
- (240) 524-1619
- Fax
- (240) 713-3107
- NPI assigned
- Sep 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kumli Anye
- Title
- Psych/Mental Health Nurse Practitio
- Phone
- (240) 603-1253
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
12311 Snowden Woods Rd
Laurel, MD 20708-2492
Mailing address
12311 Snowden Woods Rd
Laurel, MD 20708-2492
Phone (240) 524-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Conquest Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Nurse Practitioner
- Laurel, MD
- NPI 1043850415
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
- NPI 1104221613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631318400000",
"number": "1144999277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12311 SNOWDEN WOODS RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082492",
"telephone_number": "240-524-1619",
"fax_number": "240-713-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12311 SNOWDEN WOODS RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082492",
"telephone_number": "240-524-1619",
"fax_number": "240-713-3107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONQUEST HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-11",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A",
"authorized_official_last_name": "ANYE",
"authorized_official_first_name": "KUMLI",
"authorized_official_title_or_position": "PSYCH/MENTAL HEALTH NURSE PRACTITIO",
"authorized_official_telephone_number": "240-603-1253"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.