MILESTONE WELLNESS LLC
NPI 1255936217
Clinic/Center - Mental Health (Including Community Mental Health Center) in Laurel, MD

Active since November 30, 2020
370A MAIN ST, LAUREL, MD 20707(240) 755-1056 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2021, Nov 30, 2020 (2 updates tracked since 2020).

About Milestone Wellness Llc NPPES

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

MILESTONE WELLNESS LLC (NPI 1255936217) is a healthcare organization registered as a mental health (including community mental health center) in Laurel, Maryland and active in the NPI registry since November 2020. The organization maintains a secondary practice location in Clarksburg and lists Deborah G Adedeji, President, as its authorized official.

NPPES Registry Identity

NPI1255936217
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMILESTONE WELLNESS LLC
Location Address370A MAIN STLaurel, MD 20707-4133
Mailing Address12817 Fox Fern LnClarksburg, MD 20871-4040 · (240) 755-1056
Organization SubpartNo
Authorized OfficialDeborah G AdedejiPresident · (240) 755-1056
Enumeration DateNovember 30, 2020
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1255936217 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
370A MAIN ST, Laurel, MD 20707

Secondary Practice Location 1

Location 112817 Fox Fern LnClarksburg, MD 20871-4040 · Phone (240) 755-1056

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Milestone Wellness Llc 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 Milestone Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1811183973
12817 FOX FERN LN
Clarksburg, MD 20871
(240) 755-1056
✔ PECOS✔ Accepts Medicare24 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 Milestone Wellness LLC's NPI number?

The NPI number for Milestone Wellness LLC is 1255936217. It was assigned to this organization in the NPPES registry on November 30, 2020.

Where is Milestone Wellness LLC located?

Milestone Wellness LLC is located at 370A Main St, Laurel, MD 20707. The listed phone number is (240) 755-1056.

What is Milestone Wellness 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 Milestone Wellness LLC enrolled in Medicare?

Yes. Milestone Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Milestone Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Milestone Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Milestone Wellness LLC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.