THE MENTAL HEALTH CENTER OF WESTERN MARYLAND, INC.
NPI 1104871946
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hagerstown, MD
About The Mental Health Center Of Western Maryland, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MENTAL HEALTH CENTER OF WESTERN MARYLAND, INC. (NPI 1104871946) is a healthcare organization registered as a mental health (including community mental health center) in Hagerstown, Maryland and active in the NPI registry since May 2006. The organization lists Kimberly L Holtz, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 8
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Mental Health Center Of Western Maryland, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to The Mental Health Center Of Western Maryland, Inc., which bills Medicare for the services they deliver. Of these, 12 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 The Mental Health Center Of Western Maryland, Inc.'s NPI number?
The NPI number for The Mental Health Center Of Western Maryland, Inc. is 1104871946. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is The Mental Health Center Of Western Maryland, Inc. located?
The Mental Health Center Of Western Maryland, Inc. is located at 1180 Professional Ct, Hagerstown, MD 21740. The listed phone number is (301) 791-3045.
What is The Mental Health Center Of Western Maryland, Inc.'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 The Mental Health Center Of Western Maryland, Inc. enrolled in Medicare?
Yes. The Mental Health Center Of Western Maryland, Inc. is registered in the Medicare PECOS enrollment system.
When is The Mental Health Center Of Western Maryland, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through The Mental Health Center Of Western Maryland, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to The Mental Health Center Of Western Maryland, Inc.. 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 Clinical Social Worker (9), Mental Health Counselor (3) and Nurse Practitioner (2). Of these, 12 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 The Mental Health Center Of Western Maryland, Inc. was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# The Mental Health Center Of Western Maryland, Inc. · NPI 1104871946
Mental Health (Including Community Mental Health Center) organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1104871946 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kimberly Holtz, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1180 PROFESSIONAL CT, Hagerstown, MD 21740-5852
- **Phone:** (301) 791-3045 · **Fax:** (240) 313-3071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (9), Mental Health Counselor (3), Nurse Practitioner (2); 12 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2025
- **Other identifiers:** Medicaid 428100400 (MD); Medicaid 428100419 (MD); Medicaid 405342700 (MD); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104871946) · Data from the CMS NPPES public registry.