Individual provider Active NPI

Tsion M Mekonnen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Leonard, MD
National Provider Identifier
1992413264
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP500023025 Issued in DC
Practice address
7430 Mayflower CT
Saint Leonard, MD 20685-2497
Phone
(850) 758-6321
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN500023025 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500023025 DC Primary
Registered Nurse 163W00000X R204985 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R204985 MD

Addresses

Primary practice location

7430 Mayflower CT
Saint Leonard, MD 20685-2497

Mailing address

7430 Mayflower CT
Saint Leonard, MD 20685-2497
Phone (850) 758-6321

Other practice location 1

1221 Taylor St NW
Washington, DC 20011-5617
Phone (202) 464-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251215002051 MD Practitioner - Nurse Practitioner 5193219343 Reassigns benefits to 1 organization
I20260601001539 DC Practitioner - Nurse Practitioner 5193219343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2041 Martin Luther King Jr Ave SE
Washington, DC 20020-7024

7430 Mayflower CT
Saint Leonard, MD 20685-2497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN500023025DCMDRegistered Nurse
NP500023025DCMDPsychiatric/Mental Health Nurse Practitioner
R204985MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tidal Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Nov 3, 2025 Accepting new patients
Mbi Health Services LLC CurrentSince May 18, 2026 Accepting new patients

Locations

4017 Minnesota Ave NE
Washington, DC 20019
Phone (202) 388-9202

2041 Martin Luther King Jr Ave SE
Ste M8
Washington, DC 20020
Phone 2024649200211

1221 Taylor St NW
Washington, DC 20011
Phone (202) 464-9200

Organizations & group practices 2

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1992413264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 MAYFLOWER CT",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852497",
            "telephone_number": "850-758-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 MAYFLOWER CT",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852497",
            "telephone_number": "850-758-6321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Taylor St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115617",
            "country_code": "US",
            "telephone_number": "202-464-9200",
            "fax_number": "202-388-4339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKONNEN",
        "first_name": "TSION",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500023025",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500023025",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R204985",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R204985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Leonard, MD

Sources for this page

Verify at the official NPI Registry.