Individual provider Active NPI

Lilian Kusona, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1447678180
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R244474 Issued in MD
Practice address
1657 Whitehead CT
Baltimore, MD 21207-4037
Phone
(443) 200-3653
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R244474 MD Primary

Addresses

Primary practice location

1657 Whitehead CT
Baltimore, MD 21207-4037

Mailing address

9900 Nicol CT W
Bowie, MD 20721-2960
Phone (405) 239-4663

Other practice location 1

1609 Greenbriar Pl
Oklahoma City, OK 73159-7640
Phone (405) 735-3683

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
I20231107003983 MD Practitioner - Nurse Practitioner 0446607808 Reassigns benefits to 2 organizations
I20260330000370 DC Practitioner - Nurse Practitioner 0446607808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability and Empowerment Services IncGroup PAC ID 8426574989, 5 clinicians

Practice addresses (Care Compare)

1 N Charles St
Suite 701
Baltimore, MD 21201-3731
Phone (202) 758-8840

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gracemind Behavioral Health Services LLC CurrentSince Feb 16, 2026 Accepting new patients
Ability & Empowerment Services Inc CurrentSince Mar 16, 2025 Accepting new patients
Blossom Care and Behavioral Services Inc Psychiatric/Mental Health CurrentSince Sep 18, 2023 Accepting new patients
Blossom Care and Behavioral Services Inc CurrentSince Sep 18, 2023 Accepting new patients

Locations

1 N Charles St
Ste 701
Baltimore, MD 21201
Phone (202) 758-8840

1657 Whitehead Ct
Fl 1
Woodlawn, MD 21207
Phone (410) 645-8666

1657 Whitehead Ct
Woodlawn, MD 21207
Phone (410) 645-8666

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1447678180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 NICOL CT W",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212960",
            "telephone_number": "405-239-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 WHITEHEAD CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074037",
            "telephone_number": "443-200-3653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 Greenbriar Pl",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597640",
            "country_code": "US",
            "telephone_number": "405-735-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSONA",
        "first_name": "LILIAN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R244474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.