Active NPI
Kokouvi Hiheglo, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Bethesda, MD
National Provider Identifier
1649020850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R239579
- Practice address
- 6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500 - Phone
- (646) 941-7645
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 787140 | MD | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 787140 | MD | |
| Geriatric Psychiatry Physician | 2084P0805X | 787140 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R239579 | MD | Primary |
Addresses
Primary practice location
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Mailing address
7661 Arundel Mills Blvd
Hanover, MD 21076-1305
Phone (667) 225-0673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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)
611 S Union Ave
Havre de Grace, MD 21078-3421
Phone (443) 526-6133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787140 | MD | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resonance Behavioral Health Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Norkris Services, Inc | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
611 S Union Ave
Hvre de Grace, MD 21078
Phone (443) 526-6133
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Havre de Grace, MD
- NPI 1487025094
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1821765926
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1649020850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7661 ARUNDEL MILLS BLVD",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761305",
"telephone_number": "667-225-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 DEMOCRACY BLVD STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208177500",
"telephone_number": "646-941-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIHEGLO",
"first_name": "KOKOUVI",
"name_prefix": "Mr.",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "787140",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MD",
"license": "787140",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MD",
"license": "787140",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R239579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.