Carole Tchatchoua, CRNP-F

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203839 Issued in MD

Practice address

1140 Opal CT
Hagerstown, MD 21740-5940

Phone

(240) 422-7774

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, WV3 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 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Wellness Outpatient Mental Health Center LLCGroup PAC ID 6901182963, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

Practice roles

Locations

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.

• BT Restoration & Healing Center Inj LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1982346714

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Community Wellness Outpatient Mental Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1114348463

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hagerstown Psychiatry Inc

  • Psychiatry Physician
  • Hagerstown, MD
  • NPI 1730646290

  Multi-Specialty

  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, Multi-Specialty

  Medicare reassignment NPD
• Eastern Panhandle Psychiatry, Inc

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1407930225

  Multi-Specialty

  Medicare reassignment NPD
• Community Wellness Center

  • Family Medicine Physician
  • Cimarron, KS
  • NPI 1952416026
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1447718549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "240-422-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 OPAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405940",
            "telephone_number": "240-422-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422940",
            "country_code": "US",
            "telephone_number": "304-264-1442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Prospect Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217423204",
            "country_code": "US",
            "telephone_number": "240-422-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHATCHOUA",
        "first_name": "CAROLE",
        "credential": "CRNP-F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203839",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Taulton, PT, DPT
• Mary-Lyn P Taylor-Smith, MSCN, LE
• Elizabeth Colleen Taylor
• Jennifer 'Jenna' S Taylor, NCC, LGPC
• Robi Taylor
• Nilesh Tejura, MD
• Jeffrey Scott Telemeco, MPT
• Pierre Tema Wobiwo, PHARMD
• Flavine Tembu, CRNP
• Anthony Terrelonge

• Psychiatric/Mental Health Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.