INNOVATIVE TREATMENT CENTERS, LLC
NPI 1104756543
Clinic/Center - Mental Health (Including Community Mental Health Center) in Frederick, MD
About Innovative Treatment Centers, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INNOVATIVE TREATMENT CENTERS, LLC (NPI 1104756543) is a healthcare organization registered as a mental health (including community mental health center) in Frederick, Maryland and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Travis A Baird, Ceo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Innovative Treatment Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Innovative Treatment Centers, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2276033
Innovative Treatment Centers LLC · Glen Burnie, MDFrequently 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 Innovative Treatment Centers, LLC's NPI number?
The NPI number for Innovative Treatment Centers, LLC is 1104756543. It was assigned to this organization in the NPPES registry on May 19, 2026.
Where is Innovative Treatment Centers, LLC located?
Innovative Treatment Centers, LLC is located at 110 Baughmans Ln Ste 270, Frederick, MD 21702. The listed phone number is (443) 430-2998.
What is Innovative Treatment Centers, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Innovative Treatment Centers, LLC enrolled in Medicare?
Yes. Innovative Treatment Centers, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Innovative Treatment Centers, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Treatment Centers, 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. The largest specialties are Nurse Practitioner (8) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Innovative Treatment Centers, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2276033) is associated with this NPI, valid through January 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Innovative Treatment Centers, LLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Innovative Treatment Centers, Llc · NPI 1104756543
Mental Health (Including Community Mental Health Center) organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since May 19, 2026.
## Identity
- **NPI:** 1104756543 (Entity type: Organization)
- **Enumerated:** May 19, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of Innovative Treatment Centers, Llc)
- **Authorized official:** Travis Baird, CEO, OWNER
## Practice location
- **Address:** 110 BAUGHMANS LN STE 270, Frederick, MD 21702-4650
- **Phone:** (443) 430-2998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104756543) · Data from the CMS NPPES public registry.