Key Life Balance Recovery LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KEY LIFE BALANCE RECOVERY LLC

Practice address

7010 Gentle Shade Rd Apt 404
Columbia, MD 21046-3626

Phone

(443) 600-8285

NPI assigned

Aug 5, 2025

Organization subpart

No

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

Authorized official

Name

Leopoldine TchakouteuNPI 1255050019

Title

Ceo

Phone

(443) 600-8285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Leopoldine Tchamba Tchakouteu

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1255050019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1972487627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 GENTLE SHADE RD APT 404",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463626",
            "telephone_number": "443-600-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 GENTLE SHADE RD APT 404",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463626",
            "telephone_number": "443-600-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY LIFE BALANCE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "TCHAKOUTEU",
        "authorized_official_first_name": "LEOPOLDINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-600-8285"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek Kesari
• Isaiah Marquise Kessler, RBT
• Jennifer Hoover Kessler, PH.D.
• Kierstin Kessler
• Mary Shaffer Keszler, M.D.
• Angela Keyes
• KGK Speech Services LLC
• Marissa Leigh Khajavi, MD
• Irtaza Khalid, MD
• Ayesha Khalil, M.D

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, 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 Aug 5, 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.