Individual provider Active NPI

Hurlere Virgine Ndjoussi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
National Provider Identifier
1255204459
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R237813 Issued in MD
Practice address
3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251
Phone
(301) 337-9642
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R237813 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R237813 MD Primary

Addresses

Primary practice location

3611 Branch Ave Ste 404
Temple Hills, MD 20748-1251

Mailing address

11273 Suffolk Dr
Hagerstown, MD 21742-4054
Phone (240) 437-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R237813MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Minds Mental Health Services, LLC Psychiatry PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1255204459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11273 SUFFOLK DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424054",
            "telephone_number": "240-437-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 BRANCH AVE STE 404",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481251",
            "telephone_number": "301-337-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDJOUSSI",
        "first_name": "HURLERE",
        "middle_name": "VIRGINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "R237813",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R237813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.