Individual provider Active NPI

Linda Emetah Nkongchu, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1346505252
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R192716 Issued in MD
Practice address
2333 Ontario Rd NW
Washington, DC 20009-2627
Phone
(301) 249-8100
Fax
(301) 390-8086
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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 R192716 MD Primary

Addresses

Primary practice location

2333 Ontario Rd NW
Washington, DC 20009-2627

Mailing address

4300 Cedar Reach LN
Bowie, MD 20720-5808
Phone (240) 713-0481

Other practice location 1

14849 Ashford Pl
Laurel, MD 20707-3772
Phone (202) 545-0935

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
I20180403001037 MD Practitioner - Nurse Practitioner 5890057855 Reassigns benefits to 4 organizations
I20180403001478 DC Practitioner - Nurse Practitioner 5890057855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cross Behavioral ConsultingGroup PAC ID 8123445194, 5 clinicians

Practice addresses (Care Compare)

100 Gallatin St NE
Washington, DC 20011-7533
Phone (202) 483-8196

2670 Crain Hwy
Suite 106
Waldorf, MD 20601-2820
Phone (301) 374-8772

33 W Franklin St
Suite 201
Hagerstown, MD 21740-4863
Phone (240) 599-5177

3912 Georgia Ave NW
Washington, DC 20011-5861
Phone (202) 483-8196

4302 Georgia Ave NW
Washington, DC 20011-7122
Phone (202) 483-8196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R192716MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Cross Behavioral Consulting Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Tas Behavioral Health Psychiatric/Mental Health CurrentSince May 7, 2023 Accepting new patients
Aspen Day Treatment, LLC CurrentSince Apr 2, 2018 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince May 27, 2019 Accepting new patients
Way Station, Inc. Current Accepting new patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince May 27, 2019 Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

31 Baltimore St
Ste 104
Cumberland, MD 21502
Phone (240) 599-5177

33 W Franklin St
Ste 201
Hagerstown, MD 21740
Phone (240) 200-0961

1634 Sulphur Spring Rd
Halethorpe, MD 21227
Phone (410) 242-0920

2670 Crain Hwy
Ste 106
Waldorf, MD 20601
Phone (301) 374-8772

Organizations & group practices 7

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1346505252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CEDAR REACH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205808",
            "telephone_number": "240-713-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 ONTARIO RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092627",
            "telephone_number": "301-249-8100",
            "fax_number": "301-390-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14849 Ashford Pl",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207073772",
            "country_code": "US",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKONGCHU",
        "first_name": "LINDA",
        "middle_name": "EMETAH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R192716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.