Active NPI
Loveline Njukang Mentonga, RN
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1040182
- Practice address
- 3300 Pennsylvania Ave SE
Washington, DC 20020-2408 - Phone
- (202) 878-6626
- NPI assigned
- Mar 24, 2016
- Last updated
- Nov 17, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1040182 | DC | Primary |
| Registered Nurse | 163W00000X | RN1040182 | DC |
Addresses
Primary practice location
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Mailing address
11102 Old York Rd
Bowie, MD 20721-2228
Phone (240) 696-9066
Other practice location 1
11102 Old York Rd
Bowie, MD 20721-2228
Phone (240) 696-9066
Other names 1
- Mrs. Loveline Njukang Mentonga
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone (202) 878-6626
4200 Forbes Blvd
Suite 110
Lanham, MD 20706-4374
Phone (301) 499-4240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1040182 | DC | MD | Registered Nurse |
| NP1040182 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umbrella Therapeutic Services, Inc. | Current | Accepting new patients | |
| Arising Behavioral Health and Services LLC | Current | Accepting new patients | |
| Althec Behavioral Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Integrated Behavioral Health, LLC | Registered Nurse | Current | Accepting new patients |
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
3300 Pennsylvania Ave SE
Washington, DC 20020
Phone (202) 583-1194
4200 Forbes Blvd
Ste 110
Lanham, MD 20706
Phone (202) 607-6932
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1003324864
-
- Adult Mental Health Clinic/Center
- Lanham, MD
- NPI 1780332346
DC, Registered Nurse
-
- Psychiatry Physician
- Washington, DC
- NPI 1225735848
-
- Psychiatric/Mental Health Nurse Practitioner
- Lanham, MD
- NPI 1619737202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1548622939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11102 OLD YORK RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212228",
"telephone_number": "240-696-9066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 PENNSYLVANIA AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200202408",
"telephone_number": "202-878-6626"
}
],
"practiceLocations": [
{
"address_1": "11102 Old York Rd",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207212228",
"country_code": "US",
"telephone_number": "240-696-9066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENTONGA",
"first_name": "LOVELINE",
"middle_name": "NJUKANG",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1040182",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1040182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOVELINE",
"last_name": "MENTONGA",
"middle_name": "NJUKANG",
"prefix": "MRS.",
"credential": "PMHNP",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 17, 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.