Individual provider Active NPI

Olorunkemi Ajoke Feyisola

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1497645758
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R266292 Issued in MD
Practice address
8827 Montjoy PL # 8827
Ellicott City, MD 21043-8003
Phone
(757) 781-9991
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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 R266292 MD Primary

Addresses

Primary practice location

8827 Montjoy PL # 8827
Ellicott City, MD 21043-8003

Mailing address

4265 Bright Bay Way
Ellicott City, MD 21042-5939
Phone (757) 781-9991

Other names 1

  • Olorunkemi Mesturah Kotun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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

Enrollment IDStateProvider typePAC IDDetails
I20250913000318 DC Practitioner - Nurse Practitioner 4486157575 Reassigns benefits to 3 organizations
I20250913000401 MD Practitioner - Nurse Practitioner 4486157575 Reassigns benefits to 3 organizations
I20260227003169 VA Practitioner - Nurse Practitioner 4486157575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10049 Midlothian Tpke
Suite C
North Chesterfield, VA 23235-4859

1500 K St NW
Suite 200
Washington, DC 20005-1264

2232 E Monument St
Baltimore, MD 21205-2431

8619 Enoch Pratt Dr
Ellicott City, MD 21043-5106

8827 Montjoy PL
Ellicott City, MD 21043-8003

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R266292MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC CurrentSince Aug 22, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Aug 29, 2025 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Aug 22, 2025 Accepting new patients
Sure Mind Health LLC Psychiatric/Mental Health CurrentSince Jul 13, 2025 Accepting new patients
Spiritual Healing CurrentSince Aug 22, 2025 Accepting new patients
Milder Touch Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Jan 25, 2026 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Aug 29, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Aug 29, 2025 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Aug 22, 2025 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

10049 Midlothian Tpke
Ste C
North Chesterfield, VA 23235
Phone (443) 842-4253

Organizations & group practices 10

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1497645758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 BRIGHT BAY WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425939",
            "telephone_number": "757-781-9991",
            "fax_number": "443-212-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8827 MONTJOY PL # 8827",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210438003",
            "telephone_number": "757-781-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEYISOLA",
        "first_name": "OLORUNKEMI",
        "middle_name": "AJOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R266292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLORUNKEMI",
            "last_name": "KOTUN",
            "middle_name": "MESTURAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.