Chante Kelliebrew

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R230876 Issued in MD

Practice address

2008 Saint Stephens Woods Dr
Crownsville, MD 21032-2200

Phone

(202) 489-8555

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boundless Mental HealthGroup PAC ID 7214310317, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boundless Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oxon Hill, MD
  • NPI 1306573761

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1477242188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 SAINT STEPHENS WOODS DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322200",
            "telephone_number": "202-489-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 SAINT STEPHENS WOODS DR",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322200",
            "telephone_number": "202-489-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIEBREW",
        "first_name": "CHANTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R230876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Houck
• Andrew B Irving, FNP-BC
• Dwayne Elvon Jenkins
• Nicole Jenkins, LCSW-C
• Michelle Marie Jones, RN
• Dina Kemmou, LCPC
• Marielle Kemp, CRNP
• Rosalee Ann Klingmeyer, LCPC
• Laurie Friedman Donze, PH.D., P.C.
• Roberta Legg

• Psychiatric/Mental Health Nurse Practitioner in Crownsville, MD
• Providers in Crownsville, 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 May 8, 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.