NIRVANA MENTAL HEALTHCARE SERVICES INC
NPI 1639690159
Nurse Practitioner - Psychiatric/Mental Health in National Harbor, MD

Q: What is Nirvana Mental Healthcare 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 July 06, 2017

120 WATERFRONT ST STE 420, NATIONAL HARBOR, MD 20745(240) 647-8262(575) 636-2591 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 30, 2024, Sep 18, 2017, Jul 6, 2017 (3 updates tracked since 2017).

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About Nirvana Mental Healthcare Services Inc NPPES

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

NIRVANA MENTAL HEALTHCARE SERVICES INC (NPI 1639690159) is a healthcare organization registered as a psychiatric/mental health in National Harbor, Maryland and active in the NPI registry since July 2017. The organization maintains a secondary practice location in Roswell and lists Ayanna Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1639690159

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameNIRVANA MENTAL HEALTHCARE SERVICES INC

Location Address120 WATERFRONT ST STE 420National Harbor, MD 20745-1122

Mailing AddressPo Box 8244Roswell, NM 88202-8244 · (575) 624-2095

Phone(240) 647-8262

Fax(575) 636-2591

Organization SubpartNo

Authorized OfficialAyanna WilliamsOwner · (844) 779-2437

Enumeration DateJuly 6, 2017

Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1639690159 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

License✔ Licensed in NM · CNP-03247

120 WATERFRONT ST STE 420, National Harbor, MD 20745

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Secondary Practice Location 1

Location 1400 N Pennsylvania Ave Ste 670DRoswell, NM 88201-4754 · Phone (844) 779-2437 · Fax (575) 208-0780

Other Identifiers 1

Medicaid4482000NM

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)

Nirvana Mental Healthcare 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 Nirvana Mental Healthcare Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ayanna Williams, DNP

Nurse Practitioner

NPI 1649629130

400 N PENNSYLVANIA AVE STE 670-D
Roswell, NM 88201

(844) 779-2437

✔ PECOS✔ Accepts Medicare1,577 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 Nirvana Mental Healthcare Services Inc's NPI number?

The NPI number for Nirvana Mental Healthcare Services Inc is 1639690159. It was assigned to this organization in the NPPES registry on July 6, 2017.

Where is Nirvana Mental Healthcare Services Inc located?

Nirvana Mental Healthcare Services Inc is located at 120 Waterfront St Ste 420, National Harbor, MD 20745. The listed phone number is (240) 647-8262.

What is Nirvana Mental Healthcare Services Inc's specialty?

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

Is Nirvana Mental Healthcare Services Inc enrolled in Medicare?

Yes. Nirvana Mental Healthcare Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nirvana Mental Healthcare Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nirvana Mental Healthcare 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 Nirvana Mental Healthcare Services Inc was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.