Individual provider Active NPI

Thecla Asoluka, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1306483631
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R143678 Issued in MD
Practice address
100 West Rd Ste 300
Towson, MD 21204-2370
Phone
(410) 801-7822
Fax
(410) 801-7821
NPI assigned
Dec 5, 2019
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 R143678 MD Primary

Addresses

Primary practice location

100 West Rd Ste 300
Towson, MD 21204-2370

Mailing address

100 West Rd Ste 300
Towson, MD 21204-2370
Phone (410) 801-7822

Other identifiers 1

IdentifierTypeStateIssuer
202061100MedicaidMD

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
I20200519000226 MD Practitioner - Nurse Practitioner 2365873791 Reassigns benefits to 1 organization
I20230621001365 DC Practitioner - Nurse Practitioner 2365873791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
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)

1662 Village GRN
Crofton, MD 21114-2014
Phone (410) 757-2077

2650 Quarry Lake Dr
Suite 200
Baltimore, MD 21209-3756
Phone (410) 757-2077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince Jul 18, 2022 Accepting new patients
Anchor Mental Health Association CurrentSince Apr 19, 2023 Accepting new patients
Good Luck Inc CurrentSince Dec 15, 2024 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1001 Lawrence St NE
Washington, DC 20017
Phone (202) 481-1440

924 G St NW
Washington, DC 20001

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

1662 Village Grn
Crofton, MD 21114
Phone 41075720776157

1662 Village Grn
#B
Crofton, MD 21114

8258 Veterans Hwy
Ste 13
Millersville, MD 21108
Phone (410) 768-6088

Interoperability endpoints

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

Organizations & group practices 6

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1306483631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "410-801-7822",
            "fax_number": "410-801-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "410-801-7822",
            "fax_number": "410-801-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASOLUKA",
        "first_name": "THECLA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R143678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202061100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.