Individual provider Active NPI

Henriette Karekezi

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1295329134
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R163941 Issued in MD
Practice address
2014 S Tollgate Rd Ste 208
Bel Air, MD 21015-5904
Phone
(410) 670-3076
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 R163941 MD Primary

Addresses

Primary practice location

2014 S Tollgate Rd Ste 208
Bel Air, MD 21015-5904

Mailing address

2014 S Tollgate Rd Ste 208
Bel Air, MD 21015-5904
Phone (410) 670-3076

Other identifiers 1

IdentifierTypeStateIssuer
1926743501MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
RESTful URL https://www.americanpsychcare.com Direct
RESTful URL http://www.americanpsychcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20210622001136 DC Practitioner - Nurse Practitioner 6103227616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Minds Family and Mental Health Services LLCGroup PAC ID 1951794254, 2 clinicians

Practice addresses (Care Compare)

11140 Rockville Pike
Suite 590a
Rockville, MD 20852-3183
Phone (301) 580-4776

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R163941MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Now Clinic LLC CurrentSince Jun 1, 2021 Accepting new patients
Clear Minds Family and Mental Health Services LLC Psychiatric/Mental Health CurrentSince Jan 1, 2022 Accepting new patients
Nancy Nyakundi Henriette Karekezi Current Accepting new patients

Locations

1645 Ridgely St
Ste 100
Baltimore, MD 21230
Phone (301) 251-4702

9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533

11140 Rockville Pike
Ste 590A
Rockville, MD 20852
Phone (301) 580-4776

Organizations & group practices 3

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1295329134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD STE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155904",
            "telephone_number": "410-670-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S TOLLGATE RD STE 208",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155904",
            "telephone_number": "410-670-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREKEZI",
        "first_name": "HENRIETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R163941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1926743501",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "https://www.americanpsychcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2014 S Tollgate Rd Ste 208",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210155904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "http://www.americanpsychcare.com",
            "affiliation": "N",
            "endpointDescription": "psychiatry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2014 S Tollgate Rd Ste 208",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210155904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.