Individual provider Active NPI

Obinna Chukwuebuka Okonkwo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1235893363
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223763 Issued in MD
Practice address
7375 Executive PL Ste 400E46
Lanham, MD 20706-2278
Phone
(240) 761-3886
Fax
(301) 686-3268
NPI assigned
Oct 25, 2021
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R223763 MD Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X R223763 MD

Addresses

Primary practice location

7375 Executive PL Ste 400E46
Lanham, MD 20706-2278

Mailing address

1450 Mercantile LN
Ste 243
Upper Marlboro, MD 20774-5464
Phone (240) 761-3886

Other practice location 1

1511 Ritchie Hwy Ste 202
Arnold, MD 21012-2410
Phone (410) 757-2077

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
I20220301000056 MD Practitioner - Nurse Practitioner 4981098340 Reassigns benefits to 2 organizations
I20220504000573 DC Practitioner - Nurse Practitioner 4981098340

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

1511 Ritchie Hwy
Suite 202
Arnold, MD 21012-2410
Phone (410) 757-2077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R223763MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. Single Specialty CurrentSince May 1, 2024 Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Feb 1, 2022 Accepting new patients
Advantage Psychiatric Services LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

2001 Commerce Park Dr
Ste A
Annapolis, MD 21401

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

1662 Village Grn
#B
Crofton, MD 21114

306 W Pulaski Hwy
Elkton, MD 21921
Phone (410) 441-6729

5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110

493 Main St
Prince Frederick, MD 20678
Phone 4106863629601

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.obinnaokonkwo@149037.advancedmd-direct.com

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1235893363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MERCANTILE LN",
            "address_2": "STE 243",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745464",
            "telephone_number": "240-761-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL STE 400E46",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "240-761-3886",
            "fax_number": "301-686-3268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Ritchie Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Arnold",
            "state": "MD",
            "postal_code": "210122410",
            "country_code": "US",
            "telephone_number": "410-757-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "OBINNA",
        "middle_name": "CHUKWUEBUKA",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223763",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.