AUTHENTIC MENTAL WELLNESS LLC
NPI 1801573605
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since July 03, 2023
10810 DARNESTOWN RD STE 103, GAITHERSBURG, MD 20878(240) 829-1863(240) 238-6187 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Jul 3, 2023 (2 updates tracked since 2023).

About Authentic Mental Wellness Llc NPPES

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

AUTHENTIC MENTAL WELLNESS LLC (NPI 1801573605) is a healthcare organization registered as a psychiatric/mental health in Gaithersburg, Maryland and active in the NPI registry since July 2023. The organization lists Francine Kamhoua, Provider, as its authorized official.

NPPES Registry Identity

NPI1801573605
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAUTHENTIC MENTAL WELLNESS LLC
Location Address10810 DARNESTOWN RD STE 103Gaithersburg, MD 20878-2604
Mailing Address10810 Darnestown Rd Ste 103Gaithersburg, MD 20878-2604 · (240) 829-1863 · Fax (240) 238-6187
Fax(240) 238-6187
Organization SubpartNo
Authorized OfficialFrancine KamhouaProvider · (703) 508-6182
Enumeration DateJuly 3, 2023
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1801573605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10810 DARNESTOWN RD STE 103, Gaithersburg, MD 20878

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Authentic Mental Wellness Llc 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 Authentic Mental Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1275145468
4401 E WEST HWY # 504
Bethesda, MD 20814
(617) 379-0496
✔ PECOS✔ Accepts Medicare11 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 Authentic Mental Wellness LLC's NPI number?

The NPI number for Authentic Mental Wellness LLC is 1801573605. It was assigned to this organization in the NPPES registry on July 3, 2023.

Where is Authentic Mental Wellness LLC located?

Authentic Mental Wellness LLC is located at 10810 Darnestown Rd Ste 103, Gaithersburg, MD 20878. The listed phone number is (240) 829-1863.

What is Authentic Mental Wellness LLC's specialty?

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

Is Authentic Mental Wellness LLC enrolled in Medicare?

Yes. Authentic Mental Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Authentic Mental Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Authentic Mental Wellness LLC. 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 Authentic Mental Wellness LLC was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.