NPIMap

Organization Active NPI

K&I Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1407409477
Registry record updated Feb 22, 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
K&I HEALTHCARE SERVICES
Practice address
11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708
Phone
(240) 419-3803
Fax
(240) 419-2931
NPI assigned
Jul 18, 2019
Organization subpart
Yes
Parent organization
K&I HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Authorized official

Name
Kelvinda Kamara, CRNPNPI 1851641955
Title
Nurse Practitioner
Phone
(240) 419-3803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708

Mailing address

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708
Phone (240) 419-3803

Other identifiers 1

IdentifierTypeStateIssuer
889064100MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Waldorf Health Information Exchange (HIE)
CONNECT URL NPONCALLMD@OUTLOOK.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210317000023 MD Part B Supplier - Clinic/Group Practice 5193131126 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Baltimore, MD; Waldorf, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ki Healthcare Services LLC16 organizations share this tax ID, including this one
Part of
Ki Healthcare Services LLC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

145 W Ostend St
#502
Baltimore, MD 21230

4301 Garden City Dr
Ste 303
Landover, MD 20785
Phone (240) 616-7167

3200 Crain Hwy
Ste 302
Waldorf, MD 20603
Phone (301) 638-1007

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771718400000",
    "number": "1407409477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023708",
            "telephone_number": "240-419-3803",
            "fax_number": "240-667-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR STE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023708",
            "telephone_number": "240-419-3803",
            "fax_number": "240-419-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&I HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K&I HEALTHCARE SERVICES",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "KELVINDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-419-3803",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889064100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Waldorf",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 Crain Hwy Ste 302",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206034843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPONCALLMD@OUTLOOK.COM",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "145 W Ostend St # 502",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212303764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.