Authentic Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AUTHENTIC MENTAL WELLNESS LLC

Practice address

10810 Darnestown Rd Ste 103
Gaithersburg, MD 20878-2604

Phone

(240) 829-1863

Fax

(240) 238-6187

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Francine KamhouaNPI 1275145468

Title

Provider

Phone

(703) 508-6182

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Francine Mefeussom Kamhoua, CRNP-PMH, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
  • NPI 1275145468

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1801573605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782604",
            "telephone_number": "240-829-1863",
            "fax_number": "240-238-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782604",
            "telephone_number": "240-829-1863",
            "fax_number": "240-238-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "KAMHOUA",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "703-508-6182"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Karel Atse
• Attan Kasid MD PC
• Sophia Ugonma Atu
• Carley Rachel Aubertin
• Gregory Charles Aubertin, DPM
• Autumn Health Inc (Interim Home Health)
• Avalon Health LLC
• Jada Arline Marie Avery
• Ariana Avila Salas
• Adjovi Odilone Awouvi, MSN, APRN, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Gaithersburg, MD
• Providers in Gaithersburg, 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 Nov 14, 2024; 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.