Individual provider Active NPI

Jami Hicks-Townes, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1477133395
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199335 Issued in MD
Practice address
6603 Copper Ridge Dr Apt T1
Baltimore, MD 21209-2148
Phone
(443) 831-5188
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 Practitioner 363LP0808X R199335 MD Primary

Addresses

Primary practice location

6603 Copper Ridge Dr Apt T1
Baltimore, MD 21209-2148

Mailing address

6603 Copper Ridge Dr Apt T1
Baltimore, MD 21209-2148
Phone (443) 831-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210712001056 MD Practitioner - Nurse Practitioner 7214339449 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199335MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Community Services Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Safe Harbor Behavioral Care, LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients

Locations

606 Baltimore Ave
Ste 406
Baltimore, MD 21204

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

5430 Campbell Blvd
Ste 211
White Marsh, MD 21162
Phone (410) 838-9500

Interoperability endpoints

  • Direct secure messaging: jami.hicks.p1@direct.mdwellness.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1477133395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 COPPER RIDGE DR APT T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092148",
            "telephone_number": "443-831-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 COPPER RIDGE DR APT T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092148",
            "telephone_number": "443-831-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS-TOWNES",
        "first_name": "JAMI",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.