LIBERTY BEHAVIORAL HEALTHCARE LLC
NPI 1366018764
Nurse Practitioner - Psychiatric/Mental Health in Glenn Dale, MD
About Liberty Behavioral Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY BEHAVIORAL HEALTHCARE LLC (NPI 1366018764) is a healthcare organization registered as a psychiatric/mental health in Glenn Dale, Maryland and active in the NPI registry since May 2021. The organization lists Quinta Manenju, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Behavioral Healthcare 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 Liberty Behavioral Healthcare 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 Liberty Behavioral Healthcare LLC's NPI number?
The NPI number for Liberty Behavioral Healthcare LLC is 1366018764. It was assigned to this organization in the NPPES registry on May 27, 2021.
Where is Liberty Behavioral Healthcare LLC located?
Liberty Behavioral Healthcare LLC is located at 10903 Glenshire Dr, Glenn Dale, MD 20769. The listed phone number is (240) 595-5511.
What is Liberty Behavioral Healthcare LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Liberty Behavioral Healthcare LLC enrolled in Medicare?
Yes. Liberty Behavioral Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liberty Behavioral Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Liberty Behavioral Healthcare 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 Liberty Behavioral Healthcare LLC was last updated on August 14, 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.
# Liberty Behavioral Healthcare Llc · NPI 1366018764
Psychiatric/Mental Health organization in Glenn Dale, Maryland. Organization record, active in the CMS NPPES registry since May 27, 2021.
## Identity
- **NPI:** 1366018764 (Entity type: Organization)
- **Enumerated:** May 27, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Quinta Manenju, OWNER
## Practice location
- **Address:** 10903 GLENSHIRE DR, Glenn Dale, MD 20769-9160
- **Phone:** (240) 595-5511
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366018764) · Data from the CMS NPPES public registry.