Individual provider Active NPI

Jartu Nylander, PMHNP-BC

  • Mental Health Counselor
  • Middle River, MD
National Provider Identifier
1376138131
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R183802 Issued in MD
Practice address
9902 Tailspin LN Apt E
Middle River, MD 21220-2617
Phone
(443) 804-6808
NPI assigned
Mar 3, 2021
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R183802 MD
Mental Health Counselor 101YM0800X NU
Mental Health Counselor 101YM0800X R183802 MD Primary

Addresses

Primary practice location

9902 Tailspin LN Apt E
Middle River, MD 21220-2617

Mailing address

145 W Ostend St Ste 600
Baltimore, MD 21230-3774
Phone (888) 220-6392

Other identifiers 1

IdentifierTypeStateIssuer
2020142311OtherMDANCC

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
I20220825000510 MD Practitioner - Nurse Practitioner 2567846595 Reassigns benefits to 4 organizations
I20220825001060 DC Practitioner - Nurse Practitioner 2567846595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1311 S Main St
Suite 202
Mount Airy, MD 21771-5457
Phone (301) 829-2242

9902 Tailspin LN
Apt E
Middle River, MD 21220-2617
Phone (443) 804-6808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R183802MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Oct 17, 2024 Accepting new patients
J&C Divine Health Services Limited Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Supportive Care of Maryland LLC CurrentSince Aug 1, 2022 Accepting new patients
Advantage Psychiatric Services LLC CurrentSince May 28, 2023 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Advantage Psychiatric Services LLC Current Accepting new patients
Advantage Psychiatric Services LLC CurrentSince May 28, 2023 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Oct 17, 2024 Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Carroll Counseling Center, LLC Past Accepting new patients
Advantage Psychiatric Services LLC Past Accepting new patients
Psychological Healthcare, PLLC Past Accepting new patients

Locations

5525 Twin Knolls Rd
Ste 327
Columbia, MD 21045
Phone (410) 992-9149

306 W Pulaski Hwy
Elkton, MD 21921
Phone (410) 441-6729

253 Lewis Ln
Ste 101
Havre de Grace, MD 21078
Phone (321) 474-4661

910 Revolution St
Hvre de Grace, MD 21078
Phone (410) 919-9665

1311 S Main St
Ste 202
Mount Airy, MD 21771
Phone (301) 829-2242

5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

650 Ritchie Hwy
Ste 207
Severna Park, MD 21146
Phone (410) 315-9350

1380 Progress Way
Ste 101
Sykesville, MD 21784
Phone (410) 549-5181

7801 York Rd
Ste 360
Towson, MD 21204
Phone (410) 847-7171

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 12

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1376138131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303774",
            "telephone_number": "888-220-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9902 TAILSPIN LN APT E",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202617",
            "telephone_number": "443-804-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLANDER",
        "first_name": "JARTU",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R183802",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "R183802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2020142311",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

Verify at the official NPI Registry.