Renie Efuetngu Leke Tazisong, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

AC004226 Issued in MD

Practice address

7067 Columbia Gateway Dr Ste 180
Columbia, MD 21046-3408

Phone

(410) 929-7225

Fax

(443) 333-5434

NPI assigned

Mar 23, 2022

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 MD, DC2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 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 and National Provider Directory roles.

• Della Behavioral Health Services

  • Psychologist
  • Columbia, MD
  • NPI 1750635207

  DC

  Medicare reassignment Care Compare group NPD
• Support Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1841156494
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1629727730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 PINE BLUFF CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217046894",
            "telephone_number": "240-728-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7067 COLUMBIA GATEWAY DR STE 180",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463408",
            "telephone_number": "410-929-7225",
            "fax_number": "443-333-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZISONG",
        "first_name": "RENIE",
        "middle_name": "EFUETNGU LEKE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC004226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Taylor, PSYD
• Nicole Taylor, LCPC
• Nikia L Taylor, LGPC
• Rashad Taylor
• Shadonna Taylor
• Tba Counseling Services, Inc.
• Leopoldine Tchamba Tchakouteu
• Hanna Tchokote
• Ivray Perry Tchoutang Yimgna
• TCTF LLC

• Psychiatric/Mental Health Registered Nurse in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatric/Mental Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.