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

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: August 09, 2026.

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

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

Other Providers at the Same Location NPPES 9

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

IRONWOOD LIVING LLC
Day Training, Developmentally Disabled Services
120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745
Prince George's County (703) 828-4340
COORDINATING CONSULTANTS
Case Management
120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745
Prince George's County (301) 202-2003
CONNECT TO CARE COUNSELING SERVICES, LLC
Counselor (Professional)
120 WATERFRONT ST STE 420
OXON HILL, MD 20745
Prince George's County (703) 857-5354
MRS. SHELLEE WILSON RN, IBCLC
Registered Nurse (Lactation Consultant)
120 WATERFRONT ST STE 420, #2041
NATIONAL HARBOR, MD 20745
Prince George's County (301) 200-0059
WILLIAM KIMMINS LPC
Counselor (Mental Health)
120 WATERFRONT ST STE 420
NATIONAL HARBOR, MD 20745
Prince George's County (410) 635-1294
LIBIDO HEALTH INC.
Counselor (Mental Health)
120 WATERFRONT ST STE 420
OXON HILL, MD 20745
Prince George's County (301) 960-8537
JESSICA MARTIN-MERCADO
Registered Nurse (Case Management)
120 WATERFRONT ST STE 420
OXON HILL, MD 20745
Prince George's County (646) 342-4631
MRS. DEITRA LATRICE FANT MA,NCC,LCPC,LPC
Counselor (Professional)
120 WATERFRONT ST STE 420
OXON HILL, MD 20745
Prince George's County (703) 857-5354

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.

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 12 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.