OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER INC.
NPI 1174339857
Clinic/Center - Mental Health (Including Community Mental Health Center) in Quincy, MA
About Outreach Behavioral Health And Wellness Center Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUTREACH BEHAVIORAL HEALTH AND WELLNESS CENTER INC. (NPI 1174339857) is a healthcare organization registered as a mental health (including community mental health center) in Quincy, Massachusetts and active in the NPI registry since December 2024. The organization lists Brandon Gholson, President, 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)
Outreach Behavioral Health And Wellness Center Inc. 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 Outreach Behavioral Health And Wellness Center Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Outreach Behavioral Health And Wellness Center Inc.'s NPI number?
The NPI number for Outreach Behavioral Health And Wellness Center Inc. is 1174339857. It was assigned to this organization in the NPPES registry on December 6, 2024.
Where is Outreach Behavioral Health And Wellness Center Inc. located?
Outreach Behavioral Health And Wellness Center Inc. is located at 1354 Hancock St Ste 202, Quincy, MA 02169. The listed phone number is (857) 939-4445.
What is Outreach Behavioral Health And Wellness Center 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 Outreach Behavioral Health And Wellness Center Inc. enrolled in Medicare?
Yes. Outreach Behavioral Health And Wellness Center Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Outreach Behavioral Health And Wellness Center Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Outreach Behavioral Health And Wellness Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Outreach Behavioral Health And Wellness Center Inc. was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Outreach Behavioral Health And Wellness Center Inc. · NPI 1174339857
Mental Health (Including Community Mental Health Center) organization in Quincy, Massachusetts. Organization record, active in the CMS NPPES registry since December 6, 2024.
## Identity
- **NPI:** 1174339857 (Entity type: Organization)
- **Enumerated:** December 6, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Brandon Gholson, PRESIDENT
## Practice location
- **Address:** 1354 HANCOCK ST STE 202, Quincy, MA 02169-5109
- **Phone:** (857) 939-4445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1174339857) · Data from the CMS NPPES public registry.