Organization Active NPI

Coherence Mental Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1184423337
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
COHERENCE MENTAL HEALTH AND WELLNESS LLC
Practice address
336 S Main St Ste 2B-a
Bel Air, MD 21014-3978
Phone
(667) 450-8376
NPI assigned
Mar 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Magdalene O Imuze, NPNPI 1811759681
Title
Owner of Entity
Phone
(667) 450-8376

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

336 S Main St Ste 2B-a
Bel Air, MD 21014-3978

Mailing address

336 S Main St Ste 2B-a
Bel Air, MD 21014-3978
Phone (667) 450-8376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327001547 MD Part B Supplier - Clinic/Group Practice 7719400019 Receives reassigned benefits from 1 practitioner
Practice locations: Bel Air, MD

National Provider Directory

National Provider Directory

Locations

336 S Main St
Ste 2A
Bel Air, MD 21014

336 S Main St
Ste 2BA
Bel Air, MD 21014
Phone (410) 384-4153

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1184423337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 2B-A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "667-450-8376",
            "fax_number": "667-218-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S MAIN ST STE 2B-A",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143978",
            "telephone_number": "667-450-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHERENCE MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "IMUZE",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "667-450-8376",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.