ROSE GODWIN SUPPORT SERVICES, INC
NPI 1487260584
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Q: What is Rose Godwin Support Services, Inc's NPI number?

The NPI number for Rose Godwin Support Services, Inc is 1487260584. It was assigned to this organization in the NPPES registry on September 23, 2020.

Q: What is Rose Godwin Support Services, Inc's specialty?

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

Active since September 23, 2020

13671 BALTIMORE AVE, LAUREL, MD 20707(301) 907-1700(877) 714-8747 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2021, Sep 23, 2020 (2 updates tracked since 2020).

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About Rose Godwin Support Services, Inc NPPES

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

ROSE GODWIN SUPPORT SERVICES, INC (NPI 1487260584) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Laurel and lists Ayo Okoro, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1487260584

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROSE GODWIN SUPPORT SERVICES, INC

Location Address13671 BALTIMORE AVELaurel, MD 20707-5096

Mailing Address11226 Cherry Hill Rd Apt 302Beltsville, MD 20705-3831 · (301) 907-1700 · Fax (877) 714-8747

Phone(301) 907-1700

Fax(877) 714-8747

Organization SubpartNo

Authorized OfficialAyo OkoroNurse Practitioner · (301) 907-1700

Enumeration DateSeptember 23, 2020

Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2024

✔ NPI 1487260584 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

13671 BALTIMORE AVE, Laurel, MD 20707

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Secondary Practice Location 1

Location 113671 Baltimore AveLaurel, MD 20707-5096 · Phone (301) 907-1700 · Fax (877) 714-8747

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Godwin Support Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Godwin Support Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayo Okoro, FAMILY NURSE PRACTIT

Nurse Practitioner

NPI 1972841856

14625 BALTIMORE AVENUE SUITE 327
Laurel, MD 20707

(301) 256-8766

✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rose Godwin Support Services, Inc's NPI number?

The NPI number for Rose Godwin Support Services, Inc is 1487260584. It was assigned to this organization in the NPPES registry on September 23, 2020.

Where is Rose Godwin Support Services, Inc located?

Rose Godwin Support Services, Inc is located at 13671 Baltimore Ave, Laurel, MD 20707. The listed phone number is (301) 907-1700.

What is Rose Godwin Support Services, Inc's specialty?

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

Is Rose Godwin Support Services, Inc enrolled in Medicare?

Yes. Rose Godwin Support Services, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Godwin Support Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rose Godwin Support Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rose Godwin Support Services, Inc was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.