SUPREME MENTAL WELLNESS LIMITED LIABILITY COMPANY
NPI 1386477636
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clinton, MD
About Supreme Mental Wellness Limited Liability Company NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPREME MENTAL WELLNESS LIMITED LIABILITY COMPANY (NPI 1386477636) is a healthcare organization registered as a mental health (including community mental health center) in Clinton, Maryland and active in the NPI registry since August 2024. The organization lists Olakunle Ayanwale, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 Mental Wellness Limited Liability Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Supreme Mental Wellness Limited Liability Company, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Mental Wellness Limited Liability Company's NPI number?
The NPI number for Supreme Mental Wellness Limited Liability Company is 1386477636. It was assigned to this organization in the NPPES registry on August 22, 2024.
Where is Supreme Mental Wellness Limited Liability Company located?
Supreme Mental Wellness Limited Liability Company is located at 8222 Schultz Rd Ste 102, Clinton, MD 20735. The listed phone number is (240) 486-1560.
What is Supreme Mental Wellness Limited Liability Company'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 Mental Wellness Limited Liability Company enrolled in Medicare?
Yes. Supreme Mental Wellness Limited Liability Company is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supreme Mental Wellness Limited Liability Company?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Supreme Mental Wellness Limited Liability Company. 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 Supreme Mental Wellness Limited Liability Company was last updated on August 22, 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.
# Supreme Mental Wellness Limited Liability Company · NPI 1386477636
Mental Health (Including Community Mental Health Center) organization in Clinton, Maryland. Organization record, active in the CMS NPPES registry since August 22, 2024.
## Identity
- **NPI:** 1386477636 (Entity type: Organization)
- **Enumerated:** August 22, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Olakunle Ayanwale, PRESIDENT
## Practice location
- **Address:** 8222 SCHULTZ RD STE 102, Clinton, MD 20735-2607
- **Phone:** (240) 486-1560
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386477636) · Data from the CMS NPPES public registry.