Raphael Gikonyo, PHMNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R216660 Issued in MD

Practice address

1205 York Rd Ste 14
Timonium, MD 21093-6211

Phone

(410) 757-2077

NPI assigned

May 8, 2020

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Grace Healing Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nottingham, MD
  • NPI 1023804861

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment NPD
• Mosaic Community Services, Inc.

  dba Sheppard Pratt

  • Adult Mental Health Clinic/Center
  • Timonium, MD
  • NPI 1265539142
  Medicare reassignment NPD
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment NPD
• Toller Enterprises LLC

  dba Brighter Days Recovery Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment NPD
• Dove Healthcare Services ,LLC

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1629779079
  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Way Station, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1124490784
  Medicare reassignment
• Arundel Mental Health Professionals LLC

  dba LifeStance Health

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1649906496
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD
• Mosaic Community Services, Inc

  dba Sheppard Pratt

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaithersburg, MD
  • NPI 1710466313
  NPD

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1205458536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 14",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-757-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 14",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "410-757-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIKONYO",
        "first_name": "RAPHAEL",
        "credential": "PHMNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R216660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Touch Doula Services
• Edward M Geraty, LCSW-C
• Anthony Gesualdo
• Sandra Ghobrial
• Jyotsna Ghosh, MD
• Barbara Gilliss
• Catherine Marie Gischel
• Julia Giuva, LCPC
• Glass Health Programs, Inc. (MedMark Treatment Centers - Timonium)
• Glass Mental Health Foundation Inc

• Psychiatric/Mental Health Nurse Practitioner in Timonium, MD
• Providers in Timonium, 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 Apr 7, 2025; 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.