Individual provider Active NPI

Kwesi O Codrington, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1356024699
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R182997 Issued in MD
Practice address
920 Providence Rd Ste 101
Towson, MD 21286-2979
Phone
(667) 400-3679
NPI assigned
Aug 11, 2023
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 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 R182997 MD Primary

Addresses

Primary practice location

920 Providence Rd Ste 101
Towson, MD 21286-2979

Mailing address

920 Providence Rd Ste 101
Towson, MD 21286-2979
Phone (667) 400-3679

Other practice location 1

11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002
Phone (410) 800-2169

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
I20231002002359 MD Practitioner - Nurse Practitioner 0749634277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians
Alliance Wellness Solutions LLCGroup PAC ID 8628517893, 3 clinicians

Practice addresses (Care Compare)

11350 McCormick Rd
Hunt Valley, MD 21031-1002
Phone (410) 800-2169

920 Providence Rd
Suite 101
Towson, MD 21286-2979
Phone (667) 400-3679

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R182997MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Wellness Solutions LLC Psychiatric/Mental Health CurrentSince Aug 8, 2024 Accepting new patients
Balance Point Wellness, LLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

11350 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 258-4721

11350 McCormick Rd
Ste 800
Hunt Valley, MD 21031
Phone (410) 261-6199

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

212 W Main St
Ste 303
Salisbury, MD 21801
Phone (410) 401-8075

920 Providence Rd
Ste 101
Towson, MD 21286
Phone (667) 400-3679

Organizations & group practices 2

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1356024699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862979",
            "telephone_number": "667-400-3679",
            "fax_number": "667-400-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862979",
            "telephone_number": "667-400-3679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11350 McCormick Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210311002",
            "country_code": "US",
            "telephone_number": "410-800-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODRINGTON",
        "first_name": "KWESI",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R182997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.