NPIMap

Organization Active NPI

Prime Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, VA
National Provider Identifier
1861261752
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRIME MENTAL HEALTH & WELLNESS
Doing business as
Prime Mental Health & Wellness
Practice address
392 Garrisonville Rd Ste 210B
Stafford, VA 22554-1576
Phone
(540) 930-4063
Fax
(540) 930-4066
NPI assigned
Dec 20, 2023
Last updated
Oct 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Mrs. Akua Amponsah-Adjei, PMHNP-BCNPI 1821719469
Title
Pmhnp-BC
Phone
(540) 930-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

392 Garrisonville Rd Ste 210B
Stafford, VA 22554-1576

Mailing address

392 Garrisonville Rd Ste 210B
Stafford, VA 22554-1576
Phone (540) 930-4063

Other names 1

  • Prime Mental Health & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227000307 VA Part B Supplier - Clinic/Group Practice 3971948274 Receives reassigned benefits from 3 practitioners
Practice locations: Stafford, VA

National Provider Directory

National Provider Directory

Locations

392 Garrisonville Rd
Ste 210B
Stafford, VA 22554
Phone (540) 930-4063

5525 Mapledale Plz
Woodbridge, VA 22193

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1861261752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 210B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "540-930-4063",
            "fax_number": "540-930-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 GARRISONVILLE RD STE 210B",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541576",
            "telephone_number": "540-930-4063",
            "fax_number": "540-930-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MENTAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH-ADJEI",
        "authorized_official_first_name": "AKUA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "540-930-4063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prime Mental Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.