CLARKSBURG BEHAVIORAL HEALTH LLC
NPI 1194594317
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clarksburg, MD

Active since December 28, 2023
23310 FREDERICK RD, CLARKSBURG, MD 20871(240) 755-6285 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clarksburg Behavioral Health Llc NPPES

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

CLARKSBURG BEHAVIORAL HEALTH LLC (NPI 1194594317) is a healthcare organization registered as a mental health (including community mental health center) in Clarksburg, Maryland and active in the NPI registry since December 2023. The organization lists Monica Manka Ngwa, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1194594317
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCLARKSBURG BEHAVIORAL HEALTH LLC
Location Address23310 FREDERICK RDClarksburg, MD 20871-9704
Mailing Address23310 Frederick RdClarksburg, MD 20871-9704 · (240) 755-6285
Organization SubpartNo
Authorized OfficialMonica Manka NgwaPmhnp · (240) 755-6285
Enumeration DateDecember 28, 2023
Last NPPES UpdateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1194594317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
23310 FREDERICK RD, Clarksburg, MD 20871

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarksburg Behavioral Health 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 Clarksburg Behavioral Health 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)

Nurse Practitioner
NPI 1912646738
8615 E VILLAGE AVE
Montgomery Village, MD 20886
(240) 912-2220
✔ PECOS6.7 mi
Nurse Practitioner
NPI 1124776224
901 HARRY S TRUMAN DR N
Largo, MD 20774
(240) 677-1400
✔ PECOS33 mi
Clinical Social Worker
NPI 1801224779
13218 BROOKLANE DR
Hagerstown, MD 21742
(301) 733-0331
✔ PECOS35 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 Clarksburg Behavioral Health LLC's NPI number?

The NPI number for Clarksburg Behavioral Health LLC is 1194594317. It was assigned to this organization in the NPPES registry on December 28, 2023.

Where is Clarksburg Behavioral Health LLC located?

Clarksburg Behavioral Health LLC is located at 23310 Frederick Rd, Clarksburg, MD 20871. The listed phone number is (240) 755-6285.

What is Clarksburg Behavioral Health 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 Clarksburg Behavioral Health LLC enrolled in Medicare?

Yes. Clarksburg Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clarksburg Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clarksburg Behavioral Health LLC, in Clinical Social Worker and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Clarksburg Behavioral Health LLC was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.