Promise Lum Ngongwashi, MSN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R236187 Issued in MD

Practice address

9314 Piscataway Rd Ste 250
Clinton, MD 20735-3630

Phone

(240) 965-1715

Fax

(240) 965-1716

NPI assigned

Aug 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• D&D Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1164261517

  DC

  Medicare reassignment NPD
• K&P Healthcare Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1457120701

  Psychiatric/Mental Health

  NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Clinton, MD
  • NPI 1508308180
  NPD
• Clarity Healthcare Services LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1902669724
  NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1336815802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 PISCATAWAY RD STE 250",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353630",
            "telephone_number": "240-965-1715",
            "fax_number": "240-965-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 PISCATAWAY RD STE 250",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353630",
            "telephone_number": "240-965-1715",
            "fax_number": "240-965-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Meadow Lark Ave",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207723877",
            "country_code": "US",
            "telephone_number": "240-701-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGONGWASHI",
        "first_name": "PROMISE",
        "middle_name": "LUM",
        "name_prefix": "Mrs.",
        "credential": "MSN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1044901",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R236187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline McDarry Newsome-Williams, PH.D.RN,ANP-BC, FNP
• Terry Newton
• Unknown Ngoh Elody Enjei
• Mary Anna Ngoh
• Ruth Mbayi Ngoh
• Judith Ngubezoh
• Irene Hao Nguyen, PHARMD
• Phi D Nguyen
• Thao Nguyen, DPT
• Tram Ngoc Nguyen, D.D.S.

• All providers in Clinton, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.