LEISTIKOWMD LLC
NPI 1285213843
Clinic/Center - Adult Mental Health in Baltimore, MD
About Leistikowmd Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEISTIKOWMD LLC (NPI 1285213843) is a healthcare organization registered as an adult mental health in Baltimore, Maryland and active in the NPI registry since April 2021. The organization lists Nicole Leistikow, Owner, 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)
Leistikowmd 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 Leistikowmd LLC, 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 Leistikowmd LLC's NPI number?
The NPI number for Leistikowmd LLC is 1285213843. It was assigned to this organization in the NPPES registry on April 2, 2021.
Where is Leistikowmd LLC located?
Leistikowmd LLC is located at 600 Wyndhurst Ave Ste 305E, Baltimore, MD 21210. The listed phone number is (443) 459-1840.
What is Leistikowmd LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Leistikowmd LLC enrolled in Medicare?
Yes. Leistikowmd LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leistikowmd LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Leistikowmd 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 Leistikowmd LLC was last updated on February 8, 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.
# Leistikowmd Llc · NPI 1285213843
Adult Mental Health organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1285213843 (Entity type: Organization)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Nicole Leistikow, OWNER
## Practice location
- **Address:** 600 WYNDHURST AVE STE 305E, Baltimore, MD 21210-2489
- **Phone:** (443) 459-1840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285213843) · Data from the CMS NPPES public registry.