GRACEMIND BEHAVIORAL HEALTH SERVICES LLC
NPI 1417809062
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bowie, MD

Active since February 13, 2026
9900 NICOL CT W, BOWIE, MD 20721(405) 239-4663 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gracemind Behavioral Health Services Llc NPPES

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

GRACEMIND BEHAVIORAL HEALTH SERVICES LLC (NPI 1417809062) is a healthcare organization registered as a mental health (including community mental health center) in Bowie, Maryland and active in the NPI registry since February 2026. The organization lists Lilian Kusona, President, as its authorized official.

NPPES Registry Identity

NPI1417809062
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRACEMIND BEHAVIORAL HEALTH SERVICES LLC
Location Address9900 NICOL CT WBowie, MD 20721-2960
Mailing Address9900 Nicol Ct WBowie, MD 20721-2960 · (405) 239-4663
Organization SubpartNo
Authorized OfficialLilian KusonaPresident · (405) 239-4663
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1417809062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
9900 NICOL CT W, Bowie, MD 20721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gracemind Behavioral Health Services 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 Gracemind Behavioral Health Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1447678180
1657 WHITEHEAD CT
Baltimore, MD 21207
(443) 200-3653
✔ PECOS27 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 Gracemind Behavioral Health Services LLC's NPI number?

The NPI number for Gracemind Behavioral Health Services LLC is 1417809062. It was assigned to this organization in the NPPES registry on February 13, 2026.

Where is Gracemind Behavioral Health Services LLC located?

Gracemind Behavioral Health Services LLC is located at 9900 Nicol Ct W, Bowie, MD 20721. The listed phone number is (405) 239-4663.

What is Gracemind Behavioral Health 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 Gracemind Behavioral Health Services LLC enrolled in Medicare?

Yes. Gracemind Behavioral Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gracemind Behavioral Health Services LLC?

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

When was this NPI record last updated?

The NPPES record for Gracemind Behavioral Health Services LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.