Individual provider Active NPI

Kerenhappuch Akumah, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1194311308
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205347 Issued in MD
Practice address
12073 Tech Rd
Silver Spring, MD 20904-7873
Phone
(301) 593-1315
NPI assigned
Dec 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 R205347 MD Primary

Addresses

Primary practice location

12073 Tech Rd
Silver Spring, MD 20904-7873

Mailing address

PO Box 1165
Columbia, MD 21044-0165
Phone (667) 678-0508

Other practice location 1

7278 Elkridge Crossing Way
Elkridge, MD 21075-5423
Phone (667) 678-0508

Other practice location 2

2015 E West Hwy
Silver Spring, MD 20910-2602
Phone (301) 321-7741

Other practice location 3

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105
Phone (301) 321-7741

Other practice location 4

14300 Gallant Fox Ln Ste 202
Bowie, MD 20715-4033
Phone (301) 321-7741

Other practice location 5

520 Kerr Ave
Denton, MD 21629-1343
Phone (301) 321-7741

Other practice location 6

415 Morgnec Rd
Chestertown, MD 21620-1046
Phone (301) 321-7741

Other practice location 7

520 Glenburn Ave
Cambridge, MD 21613-1415
Phone (301) 321-7741

Other practice location 8

122 Langley Rd N Ste B
Glen Burnie, MD 21060-6531
Phone (410) 222-0100

Other practice location 9

200 Morgnec Rd
Chestertown, MD 21620-1026
Phone (301) 321-7741

Other names 1

  • N/a N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020001624 MD Practitioner - Nurse Practitioner 1850789041 Reassigns benefits to 1 organization
I20220726001918 DC Practitioner - Nurse Practitioner 1850789041 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC CurrentSince Jul 11, 2022 Accepting new patients

Locations

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

2015 E West Hwy
Silver Spring, MD 20910
Phone (202) 932-8149

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1194311308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210440165",
            "telephone_number": "667-678-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12073 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047873",
            "telephone_number": "301-593-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7278 Elkridge Crossing Way",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210755423",
            "country_code": "US",
            "telephone_number": "667-678-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102602",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11974 Edgehill Terrace Rd",
            "address_purpose": "LOCATION",
            "city": "Princess Anne",
            "state": "MD",
            "postal_code": "218532105",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Gallant Fox Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154033",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Kerr Ave",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "MD",
            "postal_code": "216291343",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Morgnec Rd",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201046",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Glenburn Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216131415",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Langley Rd N Ste B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210606531",
            "country_code": "US",
            "telephone_number": "410-222-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Morgnec Rd",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201026",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKUMAH",
        "first_name": "KERENHAPPUCH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.