IMANI HOUSE MEDICAL SERVICES
NPI 1184233595
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since July 31, 2020CLIA 21D2107453 · Waiver
6101 PARK HEIGHTS AVE APT 1D, BALTIMORE, MD 21215(410) 624-7190(410) 624-7193 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani House Medical Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI HOUSE MEDICAL SERVICES (NPI 1184233595) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Annette Youvonne Kingel, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1184233595
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIMANI HOUSE MEDICAL SERVICES
Location Address6101 PARK HEIGHTS AVE APT 1DBaltimore, MD 21215-3640
Mailing Address6101 Park Heights Ave Apt 1dBaltimore, MD 21215-3640 · (410) 624-7190 · Fax (410) 624-7193
Fax(410) 624-7193
Organization SubpartNo
Authorized OfficialAnnette Youvonne KingelNurse Practitioner · (410) 624-7190
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
NPI 1184233595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6101 PARK HEIGHTS AVE APT 1D, Baltimore, MD 21215

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2107453

Imani House Medical Services · Baltimore, MD
Active · expires Jan 13, 2028
CLIA Number21D2107453
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorAnnette Kingel
Laboratory Phone(410) 624-7190
Laboratory LocationImani House Medical Services6101 Park Heights Avenue Suite D1, Baltimore, MD 21215
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215
Nurse Practitioner (Primary Care)
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215
Nurse Practitioner (Psychiatric/Mental Health)
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215
Nurse's Aide
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215
Nurse Practitioner (Family)
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215
Nurse Practitioner (Family)
6101 PARK HEIGHTS AVE APT 1D
BALTIMORE, MD 21215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imani House Medical Services's NPI number?

The NPI number for Imani House Medical Services is 1184233595. It was assigned to this organization in the NPPES registry on July 31, 2020.

Where is Imani House Medical Services located?

Imani House Medical Services is located at 6101 Park Heights Ave Apt 1D, Baltimore, MD 21215. The listed phone number is (410) 624-7190.

What is Imani House Medical Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Imani House Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2107453) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imani House Medical Services was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.