Organization Active NPI

Kouekam LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Takoma Park, MD
National Provider Identifier
1366208258
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KOUEKAM LLC
Practice address
7610 Carroll Ave Ste 260
Takoma Park, MD 20912-6302
Phone
(240) 581-2625
NPI assigned
Feb 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Doris Tioko
Title
Provider
Phone
(240) 581-2625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 260
Takoma Park, MD 20912-6302

Mailing address

11973 Beltsville Dr
Beltsville, MD 20705-4004
Phone (240) 581-2625

Other practice location 1

11973 Beltsville Dr
Beltsville, MD 20705-4004
Phone (240) 581-2625

National Provider Directory

National Provider Directory

Locations

7610 Carroll Ave
Ste 260
Takoma Park, MD 20912
Phone (240) 645-3624

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1366208258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11973 BELTSVILLE DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207054004",
            "telephone_number": "240-581-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 260",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126302",
            "telephone_number": "240-581-2625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11973 Beltsville Dr",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207054004",
            "country_code": "US",
            "telephone_number": "240-581-2625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOUEKAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "TIOKO",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-581-2625"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.