Individual provider Active NPI

Jeanne Baleng Okuwobi

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1730989526
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R237543 Issued in MD
Practice address
7100 Guilford Dr Ste 2012
Frederick, MD 21704-5257
Phone
(240) 788-3536
Fax
(240) 788-3922
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R237543 MD Primary

Addresses

Primary practice location

7100 Guilford Dr Ste 2012
Frederick, MD 21704-5257

Mailing address

7100 Guilford Dr Ste 2012
Frederick, MD 21704-5257
Phone (240) 788-3536

Other names 1

  • Jeanne Baleng Okuwobi Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612001122 MD Practitioner - Nurse Practitioner 9537679071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1209 A N E St
Frederick, MD 21701-4624
Phone (301) 339-4641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R237543MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Wellness and Counseling Services LLC Psychiatric/Mental Health CurrentSince May 22, 2025 Accepting new patients
Cornerstone Behavioral Care, LLC CurrentSince Jun 1, 2025 Accepting new patients
Devoted Wellness and Counseling Services LLC CurrentSince May 22, 2025 Accepting new patients

Locations

7100 Guilford Dr
Ste 2012
Frederick, MD 21704
Phone (240) 788-3536

1209A N East St
Frederick, MD 21701
Phone (301) 332-6934

28 W Washington St
Ste 2
Hagerstown, MD 21740
Phone (301) 247-9039

Organizations & group practices 3

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1730989526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR STE 2012",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045257",
            "telephone_number": "240-788-3536",
            "fax_number": "240-788-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR STE 2012",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045257",
            "telephone_number": "240-788-3536",
            "fax_number": "240-788-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALENG OKUWOBI",
        "first_name": "JEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R237543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "BALENG OKUWOBI",
            "credential": "PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.