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INNOVO LIFE COACHING AND CONSULTING PRACTICE
NPI 1730540741
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Active since March 18, 2016
8101 SANDY SPRING RD STE 250, LAUREL, MD 20707(202) 355-8587(202) 478-2919 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2020, Mar 18, 2016 (2 updates tracked since 2016).

About Innovo Life Coaching And Consulting Practice NPPES

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

INNOVO LIFE COACHING AND CONSULTING PRACTICE (NPI 1730540741) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since March 2016. The organization lists Jessica Kennedy, Co-owner/practice Manager, as its authorized official.

NPPES Registry Identity

NPI1730540741
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINNOVO LIFE, LLC
Location Address8101 SANDY SPRING RD STE 250Laurel, MD 20707-3527
Mailing AddressPo Box 212Simpsonville, MD 21150-0212 · (202) 355-8587
Phone(202) 355-8587
Fax(202) 478-2919
Organization SubpartNo
Authorized OfficialJessica KennedyCo-owner/practice Manager · (202) 355-8587
Enumeration DateMarch 18, 2016
Last NPPES UpdateMarch 20, 20202 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
✔ NPI 1730540741 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
8101 SANDY SPRING RD STE 250, Laurel, MD 20707
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Other Names 1

Doing Business AsInnovo Life Coaching And Consulting Practice

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)

Innovo Life Coaching And Consulting Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Innovo Life Coaching And Consulting Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Leighton Kennedy, PMHNP, BC
Nurse Practitioner
NPI 1649573346
8101 SANDY SPRING RD STE 250
Laurel, MD 20707
(202) 355-8587
✔ PECOS✔ Accepts MedicareSame address
Isabel Berman, MSW,LGSW
Clinical Social Worker
NPI 1770639924
932 HUNGERFORD DR STE 3A
Rockville, MD 20850
(240) 203-6777
✔ PECOS✔ Accepts Medicare15 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 Innovo Life, LLC's NPI number?

The NPI number for Innovo Life, LLC is 1730540741. It was assigned to this organization in the NPPES registry on March 18, 2016. The provider is doing business as Innovo Life Coaching And Consulting Practice.

Where is Innovo Life, LLC located?

Innovo Life, LLC is located at 8101 Sandy Spring Rd Ste 250, Laurel, MD 20707. The listed phone number is (202) 355-8587.

What is Innovo Life, LLC's specialty?

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

Is Innovo Life, LLC enrolled in Medicare?

Yes. Innovo Life, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovo Life, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Innovo Life, LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovo Life, LLC was last updated on March 20, 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.