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ONE ALKALINE LIFE, LLC
NPI 1104572775
Counselor - Mental Health in Waldorf, MD

Active since February 23, 2022
1036 SAINT NICHOLAS DR UNIT 102, WALDORF, MD 20603(410) 934-0580(410) 834-1217 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Jul 6, 2025, May 15, 2024 and 2 more (5 updates tracked since 2022).

About One Alkaline Life, Llc NPPES

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

ONE ALKALINE LIFE, LLC (NPI 1104572775) is a healthcare organization registered as a mental health in Waldorf, Maryland and active in the NPI registry since February 2022. The organization lists Lester Stevens, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104572775
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameONE ALKALINE LIFE, LLC
Location Address1036 SAINT NICHOLAS DR UNIT 102Waldorf, MD 20603-4758
Mailing Address1036 Saint Nicholas Dr Unit 102Waldorf, MD 20603-4758 · (410) 934-0580 · Fax (410) 834-1217
Phone(410) 934-0580
Fax(410) 834-1217
Organization SubpartNo
Authorized OfficialLester StevensCeo · (410) 934-0581
Enumeration DateFebruary 23, 2022
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1104572775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1036 SAINT NICHOLAS DR UNIT 102, Waldorf, MD 20603
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Other Identifiers 1

Medicaid317218000MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

One Alkaline Life, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to One Alkaline Life, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Sharita Sivels
Mental Health Counselor
NPI 1326412826
5800 BETSY CIR
Waldorf, MD 20601
(301) 609-9887
✔ PECOS✔ Accepts Medicare4.7 mi
Gillian Gregory, LCSW-C
Clinical Social Worker
NPI 1174877484
1728 INGRAM RD
Baltimore, MD 21239
(410) 905-9904
✔ PECOS54 mi
Tammy Mackins-Hill, LPC
Mental Health Counselor
NPI 1063840940
4100 N MAIN ST STE 204
Columbia, SC 29203
(803) 936-1550
✔ PECOS✔ Accepts Medicare390 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 One Alkaline Life, LLC's NPI number?

The NPI number for One Alkaline Life, LLC is 1104572775. It was assigned to this organization in the NPPES registry on February 23, 2022.

Where is One Alkaline Life, LLC located?

One Alkaline Life, LLC is located at 1036 Saint Nicholas Dr Unit 102, Waldorf, MD 20603. The listed phone number is (410) 934-0580.

What is One Alkaline Life, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is One Alkaline Life, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through One Alkaline Life, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to One Alkaline Life, LLC, in Clinical Social Worker and Mental Health Counselor. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does One Alkaline Life, LLC accept?

Health plans from Cigna Healthcare list One Alkaline Life, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for One Alkaline Life, LLC was last updated on July 8, 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.