Individual provider Active NPI

Jodelle Nzokou

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, MD
National Provider Identifier
1396608972
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224445 Issued in MD
Practice address
181 E Main St Ste 4
Westminster, MD 21157-6195
Phone
(443) 487-6681
Fax
(443) 487-0560
NPI assigned
Dec 9, 2025
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R224445 MD Primary

Addresses

Primary practice location

181 E Main St Ste 4
Westminster, MD 21157-6195

Mailing address

PO Box 973
Westminster, MD 21158-0973
Phone (443) 487-6681

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260507000206 DC Practitioner - Nurse Practitioner 7315415403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14502 Greenview Dr
Suite 500
Laurel, MD 20708-3221

510 Thornall St
Suite 100
Edison, NJ 08837-2204

575 Route 28
BLDG 2
Raritan, NJ 08869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R224445MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archway Counseling Services LLC Single Specialty PastSince Apr 20, 2025 Accepting new patients

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1396608972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211580973",
            "telephone_number": "443-487-6681",
            "fax_number": "443-487-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E MAIN ST STE 4",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576195",
            "telephone_number": "443-487-6681",
            "fax_number": "443-487-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZOKOU",
        "first_name": "JODELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.