Individual provider Active NPI

Selam Tekie, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1720411432
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R219103 Issued in MD
Practice address
7130 Minstrel Way Ste 125B
Columbia, MD 21045-5201
Phone
(443) 862-8249
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R219103 MD Primary
Registered Nurse 163W00000X L1-0043098 DE
Registered Nurse 163W00000X RN642929 PA
Nurse Practitioner 363L00000X R219103 MD

Addresses

Primary practice location

7130 Minstrel Way Ste 125B
Columbia, MD 21045-5201

Mailing address

1121 Annapolis Rd Ste 106
Odenton, MD 21113-1633
Phone (443) 862-8249

Other practice location 1

211 N Union St
Alexandria, VA 22314-2657
Phone (443) 979-8088

Other practice location 2

142 N Queen St Ste 104
Martinsburg, WV 25401-3312
Phone (443) 979-8088

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230530000517 MD Practitioner - Nurse Practitioner 2163889627 Reassigns benefits to 1 organization
I20230530000692 DC Practitioner - Nurse Practitioner 2163889627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0043098DEMDRegistered Nurse
RN642929PAMDRegistered Nurse
R219103MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rass Psychiatry and Wellness Services Psychiatric/Mental Health CurrentSince Jun 24, 2025 Accepting new patients

Locations

7130 Minstrel Way
Ste 120B
Columbia, MD 21045
Phone (443) 862-8249

1121 Annapolis Rd
Odenton, MD 21113
Phone (443) 302-9245

Interoperability endpoints

  • Direct secure messaging: selam.tekie.p1@direct.familyhch.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1720411432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ANNAPOLIS RD STE 106",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131633",
            "telephone_number": "443-862-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 125B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455201",
            "telephone_number": "443-862-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Union St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223142657",
            "country_code": "US",
            "telephone_number": "443-979-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 N Queen St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254013312",
            "country_code": "US",
            "telephone_number": "443-979-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKIE",
        "first_name": "SELAM",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R219103",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0043098",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN642929",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R219103",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.