Individual provider Active NPI

Lawrencia Oluchi Ugochukwu, PMHMP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1306569637
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R210531 Issued in MD
Practice address
4226 Brookside Oaks
Owings Mills, MD 21117-5167
Phone
(443) 622-5192
Fax
(443) 213-8484
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 R210531 MD Primary

Addresses

Primary practice location

4226 Brookside Oaks
Owings Mills, MD 21117-5167

Mailing address

4226 Brookside Oaks
Owings Mills, MD 21117-5167
Phone (443) 622-5192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230615000016 MD Practitioner - Nurse Practitioner 9739547225 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Wellness Outpatient Mental Health Center LLCGroup PAC ID 6901182963, 4 clinicians

Practice addresses (Care Compare)

3310 Eastern Ave
Baltimore, MD 21224-4108
Phone (667) 309-9920

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince May 2, 2023 Accepting new patients
JTC Behavioral Health Services CurrentSince Aug 2, 2024 Accepting new patients
Freedom Healthcare, LLC CurrentSince Dec 9, 2025 Accepting new patients
Wholesome Behavioral Health LLC Current Accepting new patients
Community Wellness Outpatient Mental Health Center LLC CurrentSince May 1, 2024 Accepting new patients

Locations

1119 E Monument St
Baltimore, MD 21202
Phone (443) 705-5056

3310 Eastern Ave
Baltimore, MD 21224
Phone (443) 708-5056

8700 Central Ave
Ste 300
Landover, MD 20785
Phone (240) 708-6529

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

Organizations & group practices 5

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1306569637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 BROOKSIDE OAKS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175167",
            "telephone_number": "443-622-5192",
            "fax_number": "443-213-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 BROOKSIDE OAKS",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175167",
            "telephone_number": "443-622-5192",
            "fax_number": "443-213-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGOCHUKWU",
        "first_name": "LAWRENCIA",
        "middle_name": "OLUCHI",
        "credential": "PMHMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.