Individual provider Active NPI

Venetta Diale Belowe Mwengella, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1275015281
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC005472 Issued in MD
Practice address
1605 Roberta Dr SW
Marietta, GA 30008-3855
Phone
(770) 419-3120
Fax
(770) 419-3121
NPI assigned
Sep 6, 2018
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 AC005472 MD Primary

Addresses

Primary practice location

1605 Roberta Dr SW
Marietta, GA 30008-3855

Mailing address

1605 Roberta Dr SW
Marietta, GA 30008-3855
Phone (770) 419-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20240217000240 DC Practitioner - Nurse Practitioner 9032553003 Reassigns benefits to 1 organization
I20240905000313 MD Practitioner - Nurse Practitioner 9032553003 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC005472MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Foundation Africa Limited CurrentSince Jan 1, 2024 Accepting new patients
Healthy Mind Foundation Africa Limited Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

5505 Reisterstown Rd
Baltimore, MD 21215
Phone (301) 541-7178

8101 Sandy Spring Rd
Ste 300W29
Laurel, MD 20707
Phone (443) 493-7985

Interoperability endpoints

  • Direct secure messaging: ms_vmwengel@landmarkhealth-direct.org

Organizations & group practices 2

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1275015281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 ROBERTA DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083855",
            "telephone_number": "770-419-3120",
            "fax_number": "770-419-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ROBERTA DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083855",
            "telephone_number": "770-419-3120",
            "fax_number": "770-419-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWENGELLA",
        "first_name": "VENETTA",
        "middle_name": "DIALE BELOWE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC005472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.