Individual provider Active NPI

Taku Ajongakoh Stella

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1235834250
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R213261 Issued in MD
Practice address
1949 4TH St NE
Washington, DC 20002-1211
Phone
(202) 462-7500
NPI assigned
Mar 31, 2023
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 R213261 MD Primary

Addresses

Primary practice location

1949 4TH St NE
Washington, DC 20002-1211

Mailing address

10908 Atwell Ave
Bowie, MD 20720-3598
Phone (240) 705-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250523000170 MD Practitioner - Nurse Practitioner 5193244085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7826 Eastern Ave NW
Suite 200
Washington, DC 20012-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Healthcare Plus LLC CurrentSince Mar 20, 2025 Accepting new patients
Bonstar Services LLC CurrentSince Apr 6, 2023 Accepting new patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince Dec 23, 2025 Accepting new patients
Rap, Inc. PastSince Apr 6, 2023 Accepting new patients
Rap, Inc. PastSince Apr 6, 2023 Accepting new patients

Locations

9135 Piscataway Rd
Ste 410
Clinton, MD 20735
Phone (240) 348-7860

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1235834250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 ATWELL AVE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203598",
            "telephone_number": "240-705-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 4TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021211",
            "telephone_number": "202-462-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLA",
        "first_name": "TAKU",
        "middle_name": "AJONGAKOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.