Individual provider Active NPI

Loveline Njukang Mentonga, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1548622939
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1040182 Issued in DC
Practice address
3300 Pennsylvania Ave SE
Washington, DC 20020-2408
Phone
(202) 878-6626
NPI assigned
Mar 24, 2016
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117000482 DC Practitioner - Nurse Practitioner 2860849528 Reassigns benefits to 3 organizations

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
Umbrella Therapeutic Services, Inc.Group PAC ID 2163787839, 6 clinicians
Integrated Behavioral Health, LLCGroup PAC ID 7810280781, 3 clinicians

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

LicenseStateTypeSpecialty
RN1040182DCMDRegistered Nurse
NP1040182DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umbrella Therapeutic Services, Inc. CurrentSince Feb 6, 2024 Accepting new patients
Arising Behavioral Health and Services LLC CurrentSince Oct 1, 2023 Accepting new patients
Althec Behavioral Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Integrated Behavioral Health, LLC Registered Nurse CurrentSince Feb 1, 2025 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.

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

Verify at the official NPI Registry.