Nirvana Mental Healthcare Services Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

CNP-03247 Issued in NM

Legal business name

NIRVANA MENTAL HEALTHCARE SERVICES INC

Practice address

120 Waterfront St Ste 420
National Harbor, MD 20745-1122

Phone

(240) 647-8262

Fax

(575) 636-2591

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Ayanna Williams, CNPNPI 1649629130

Title

Owner

Phone

(844) 779-2437

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM, DC2 enrollments

Enrollment records 2

Tax ID family

Nirvana Mental Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nirvana Mental Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • National Harbor, MD
  • NPI 1881541324
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nirvana Mental Healthcare Services Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • National Harbor, MD
  • NPI 1881541324
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayanna Williams, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roswell, NM
  • NPI 1649629130

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1639690159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8244",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028244",
            "telephone_number": "575-624-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATERFRONT ST STE 420",
            "city": "NATIONAL HARBOR",
            "state": "MD",
            "postal_code": "207451122",
            "telephone_number": "240-647-8262",
            "fax_number": "575-636-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pennsylvania Ave Ste 670D",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882014754",
            "country_code": "US",
            "telephone_number": "844-779-2437",
            "fax_number": "575-208-0780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIRVANA MENTAL HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-779-2437",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "CNP-03247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482000",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in National Harbor, MD
• Providers in National Harbor, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.