Individual provider Active NPI

Leopoldine Tchamba Tchakouteu

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1255050019
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R222827 Issued in MD
Practice address
7010 Gentle Shade Rd Apt 404
Columbia, MD 21046-3626
Phone
(443) 600-8285
NPI assigned
Aug 24, 2022
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 R222827 MD Primary

Addresses

Primary practice location

7010 Gentle Shade Rd Apt 404
Columbia, MD 21046-3626

Mailing address

7010 Gentle Shade Rd Apt 404
Columbia, MD 21046-3626
Phone (443) 600-8285

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
I20240415004117 MD Practitioner - Nurse Practitioner 5698114262 Reassigns benefits to 5 organizations
I20241127003190 DC Practitioner - Nurse Practitioner 5698114262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Spiritual HealingGroup PAC ID 7113388802, 22 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R222827MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Olympus Health Care LLC CurrentSince Sep 14, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Oct 3, 2024 Accepting new patients
Toller Enterprises LLC CurrentSince Mar 6, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Mar 6, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 10, 2024 Accepting new patients
Key Life Balance Recovery LLC Psychiatric/Mental Health CurrentSince Oct 20, 2025 Accepting new patients
Spiritual Healing CurrentSince Mar 24, 2025 Accepting new patients
BK Behavioral Health Center Past Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

6340 Security Blvd
Ste 100
Woodlawn, MD 21207
Phone (443) 413-9942

Organizations & group practices 10

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1255050019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 GENTLE SHADE RD APT 404",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463626",
            "telephone_number": "443-600-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 GENTLE SHADE RD APT 404",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463626",
            "telephone_number": "443-600-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAKOUTEU",
        "first_name": "LEOPOLDINE",
        "middle_name": "TCHAMBA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.