Active NPI
Jenel Morian, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Lanham, MD
National Provider Identifier
1174939755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AC002696
- Practice address
- 9301 Annapolis Rd
Lanham, MD 20706-3115 - Phone
- (240) 296-6060
- NPI assigned
- Jul 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN210613 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC002696 | MD | Primary |
Addresses
Primary practice location
9301 Annapolis Rd
Lanham, MD 20706-3115
Mailing address
8715 1St Ave Apt 1415D
Silver Spring, MD 20910-3548
Phone (770) 865-9011
Other practice location 1
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone (678) 209-2394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210613 | GA | MD | Registered Nurse |
| AC002696 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginias Preferred Providers | Current | Accepting new patients | |
| Vesta, Inc. | Past | Accepting new patients |
Locations
2421 Westwood Ave
Ste F
Richmond, VA 23230
Phone (804) 317-2288
5911 W Broad St
Richmond, VA 23230
Phone (804) 213-0259
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.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1730638107
-
- Community/Behavioral Health Agency
- Lanham, MD
- NPI 1598306516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1174939755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8715 1ST AVE APT 1415D",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103548",
"telephone_number": "770-865-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063115",
"telephone_number": "240-296-6060"
}
],
"practiceLocations": [
{
"address_1": "175 Gwinnett Dr",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300468444",
"country_code": "US",
"telephone_number": "678-209-2394",
"fax_number": "678-212-6343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORIAN",
"first_name": "JENEL",
"credential": "CRNP-PMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN210613",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC002696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.