Active NPI
Leah N Chibikom
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1050187
- Practice address
- 4660 Martin Luther King Jr Ave SW Ste A1
Washington, DC 20032-4958 - Phone
- (202) 318-0179
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1050187 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R236027 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1050187 | DC | Primary |
Addresses
Primary practice location
4660 Martin Luther King Jr Ave SW Ste A1
Washington, DC 20032-4958
Mailing address
1034 Burns St SE
Washington, DC 20019-3004
Phone (202) 391-6001
Other practice location 1
1034 Burns St SE
Washington, DC 20019-3004
Phone (202) 391-6001
Other practice location 2
411A Dorchester Ave
Cambridge, MD 21613-2421
Phone (301) 805-8100
Other practice location 3
11902 Pleasant Prospect Rd
Bowie, MD 20721-2507
Phone (301) 805-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1050187 | DC | MD | Registered Nurse |
| NP1050187 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Healthcare Clinics. LLC | Current | Accepting new patients |
Locations
4660 Martin Luther King Jr Ave SW
Ste A3
Washington, DC 20032
Phone (202) 318-0179
4660 Martin Luther King Jr Ave SW
Ste A1
Washington, DC 20032
Phone (202) 310-0179
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1417432733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1548091986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 BURNS ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193004",
"telephone_number": "202-391-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324958",
"telephone_number": "202-318-0179"
}
],
"practiceLocations": [
{
"address_1": "1034 Burns St SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200193004",
"country_code": "US",
"telephone_number": "202-391-6001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411A Dorchester Ave",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MD",
"postal_code": "216132421",
"country_code": "US",
"telephone_number": "301-805-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11902 Pleasant Prospect Rd",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207212507",
"country_code": "US",
"telephone_number": "301-805-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIBIKOM",
"first_name": "LEAH",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1050187",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R236027",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1050187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.