Individual provider Active NPI

Leonidah Kenyansa Okemwa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester Springs, PA
National Provider Identifier
1164115283
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010442 Issued in DE
Practice address
4204 Franklin CT
Chester Springs, PA 19425-8754
Phone
(908) 783-1775
NPI assigned
Jun 2, 2023
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 L8-0010442 DE Primary

Addresses

Primary practice location

4204 Franklin CT
Chester Springs, PA 19425-8754

Mailing address

4204 Franklin CT
Chester Springs, PA 19425-8754
Phone (908) 783-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240422002035 PA Practitioner - Nurse Practitioner 5991144024 Reassigns benefits to 3 organizations
I20241031001282 DE Practitioner - Nurse Practitioner 5991144024 Reassigns benefits to 1 organization
I20250314002589 DC Practitioner - Nurse Practitioner 5991144024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Growth Opportunity CenterGroup PAC ID 9335051085, 27 clinicians

Practice addresses (Care Compare)

928 Jaymor Rd
Suite B 150
Southampton, PA 18966-3853
Phone (215) 947-8654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010442DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
Psychogeriatric Services LLC Single Specialty CurrentSince Feb 5, 2024 Accepting new patients
Growth Opportunity Center Single Specialty CurrentSince Sep 16, 2024 Accepting new patients

Locations

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

928 Jaymor Rd
Ste B150
Southampton, PA 18966
Phone (215) 947-8654

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1164115283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 FRANKLIN CT",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194258754",
            "telephone_number": "908-783-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 FRANKLIN CT",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194258754",
            "telephone_number": "908-783-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEMWA",
        "first_name": "LEONIDAH",
        "middle_name": "KENYANSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

Verify at the official NPI Registry.