Kenneth G Muthee

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R221983 Issued in MD

Practice address

1340 Smith Ave Ste 200
Baltimore, MD 21209-3796

Phone

(443) 500-9251

Fax

(410) 779-1314

NPI assigned

Oct 25, 2022

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Crafts Psychiatry Services LLCGroup PAC ID 1052890407, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.muthee.p1@direct.mcg-hhs.nextgenshare.com

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.

• Covenant Crafts Psychiatry Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1518836071
  Medicare reassignment Care Compare group NPD
• Montgomery County Maryland Government

  dba Adult Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482

  DC

  Medicare reassignment NPD
• Toller Enterprises LLC

  dba Brighter Days Recovery Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533
  Medicare reassignment NPD
• Transitional Care Services Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1124798178
  Medicare reassignment NPD
• Appointed Time Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nottingham, MD
  • NPI 1720837651
  NPD Authorized official
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  dba OAS Adult Mental Health Clinic

  • Adult Mental Health Clinic/Center
  • Rockville, MD
  • NPI 1861514697
  NPD

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1194442558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SIPPLE AVE",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364226",
            "telephone_number": "443-635-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 SMITH AVE STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093796",
            "telephone_number": "443-500-9251",
            "fax_number": "410-779-1314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Madison St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212024260",
            "country_code": "US",
            "telephone_number": "410-545-8146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHEE",
        "first_name": "KENNETH",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R221983",
            "primary": true
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "MD",
            "license": "R221983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Mustafa, M.D
• Aishat Folaranmi Mustapha, MD
• Joanna Musumeci, CRNP
• Irene Mosongo Muteck, FNP-C
• Ivy Muteithia
• Richard William Muths, D.D.S.
• Deivasumathy Muthugovindan, MBBS
• Srinivasan Muthukrishnan
• Arachchige Pubudini Muthukuda, MD
• Brinda Muthusamy, MBCHB

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.