Individual provider Active NPI

Sekou Balewa Jones, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kensington, MD
National Provider Identifier
1760508428
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R148423 Issued in MD
Practice address
11410 Soward Dr
Kensington, MD 20895-1423
Phone
(720) 238-7917
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0010155 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R148423 MD Primary

Addresses

Primary practice location

11410 Soward Dr
Kensington, MD 20895-1423

Mailing address

429 Northwest Dr
Silver Spring, MD 20901-4416
Phone (720) 238-7917

Other practice location 1

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone (303) 898-2267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0010155COMDPsychiatric/Mental Health Nurse Practitioner
R148423MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Clarity Corp Psychiatric/Mental Health CurrentSince Feb 11, 2024 Accepting new patients

Locations

6200 S Syracuse Way
Ste 260
Greenwood Village, CO 80111
Phone (303) 805-5456

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1760508428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 NORTHWEST DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014416",
            "telephone_number": "720-238-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 SOWARD DR",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951423",
            "telephone_number": "720-238-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 S Syracuse Way Ste 260",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801114739",
            "country_code": "US",
            "telephone_number": "303-898-2267",
            "fax_number": "720-287-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SEKOU",
        "middle_name": "BALEWA",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0010155",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R148423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.