SUPREME HEALTHCARE & WELLNESS SERVICES LLC
NPI 1215670047
Clinic/Center - Mental Health (Including Community Mental Health Center) in Germantown, MD

Q: What is Supreme Healthcare & Wellness Services 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.

Active since April 19, 2022

12401 MIDDLEBROOK RD STE 190, GERMANTOWN, MD 20874(240) 476-2106(877) 775-1766 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2022, Aug 7, 2022, Jul 25, 2022 and 2 more (5 updates tracked since 2022).

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About Supreme Healthcare & Wellness Services Llc NPPES

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

SUPREME HEALTHCARE & WELLNESS SERVICES LLC (NPI 1215670047) is a healthcare organization registered as a mental health (including community mental health center) in Germantown, Maryland and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Gaithersburg and lists Judith Akoh-arrey, Provider, as its authorized official.

NPPES Registry Identity

NPI1215670047

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSUPREME HEALTHCARE & WELLNESS SERVICES LLC

Location Address12401 MIDDLEBROOK RD STE 190Germantown, MD 20874-1521

Mailing Address12401 Middlebrook Rd Ste 190Germantown, MD 20874-1521 · (855) 208-0890 · Fax (240) 317-4559

Phone(240) 476-2106

Fax(877) 775-1766

Organization SubpartNo

Authorized OfficialJudith Akoh-arreyProvider · (240) 432-6971

Enumeration DateApril 19, 2022

Last NPPES UpdateAugust 29, 20225 updates tracked since enumeration

NPPES CertifiedAugust 29, 2022

✔ NPI 1215670047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

12401 MIDDLEBROOK RD STE 190, Germantown, MD 20874

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Secondary Practice Location 1

Location 110810 BARNESTOWN RD, STE 202GAITHERSBURG, MD 20878 · Phone (240) 432-6971

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Supreme Healthcare & Wellness Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Supreme Healthcare & Wellness Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Judith Akoh-Arrey, CRNP

Nurse Practitioner

NPI 1699336651

12401 MIDDLEBROOK RD STE 190
Germantown, MD 20874

(855) 208-0890

✔ PECOS✔ Accepts MedicareSame address

Habibatu Sesay, PMHNP

Nurse Practitioner

NPI 1043852023

4 GRAVENHURST CT
North Potomac, MD 20878

(240) 476-2106

✔ PECOS✔ Accepts Medicare4.9 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 Supreme Healthcare & Wellness Services LLC's NPI number?

The NPI number for Supreme Healthcare & Wellness Services LLC is 1215670047. It was assigned to this organization in the NPPES registry on April 19, 2022.

Where is Supreme Healthcare & Wellness Services LLC located?

Supreme Healthcare & Wellness Services LLC is located at 12401 Middlebrook Rd Ste 190, Germantown, MD 20874. The listed phone number is (240) 476-2106.

What is Supreme Healthcare & Wellness Services 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 Supreme Healthcare & Wellness Services LLC enrolled in Medicare?

Yes. Supreme Healthcare & Wellness Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Supreme Healthcare & Wellness Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Supreme Healthcare & Wellness Services 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. Of these, 1 practice at this address and 2 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 Supreme Healthcare & Wellness Services LLC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.