ERTA BEHAVIORAL HEALTH, LLC
NPI 1487284816
Nurse Practitioner - Psychiatric/Mental Health in Lanham, MD

Active since January 24, 2020
7400 WILHELM DR, LANHAM, MD 20706(240) 501-2710 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2020, Jan 24, 2020 (2 updates tracked since 2020).

About Erta Behavioral Health, Llc NPPES

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

ERTA BEHAVIORAL HEALTH, LLC (NPI 1487284816) is a healthcare organization registered as a psychiatric/mental health in Lanham, Maryland and active in the NPI registry since January 2020. The organization lists Jon Kogan, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1487284816
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameERTA BEHAVIORAL HEALTH, LLC
Location Address7400 WILHELM DRLanham, MD 20706-3725
Mailing Address7400 Wilhelm DrLanham, MD 20706-3725 · (240) 501-2710
Organization SubpartNo
Authorized OfficialJon KoganDelegated Official · (443) 253-5533
Enumeration DateJanuary 24, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1487284816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
7400 WILHELM DR, Lanham, MD 20706

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)

Erta Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Erta Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1689925497
7400 WILHELM DR
Lanham, MD 20706
(240) 706-6554
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1245962430
14999 HEALTH CENTER DR STE 202
Bowie, MD 20716
(301) 249-8100
✔ PECOS7.7 mi
Mental Health Counselor
NPI 1407340185
9520 BERGER RD STE 203
Columbia, MD 21046
(410) 290-6940
✔ PECOS14 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 Erta Behavioral Health, LLC's NPI number?

The NPI number for Erta Behavioral Health, LLC is 1487284816. It was assigned to this organization in the NPPES registry on January 24, 2020.

Where is Erta Behavioral Health, LLC located?

Erta Behavioral Health, LLC is located at 7400 Wilhelm Dr, Lanham, MD 20706. The listed phone number is (240) 501-2710.

What is Erta Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Erta Behavioral Health, LLC enrolled in Medicare?

Yes. Erta Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erta Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Erta Behavioral Health, LLC, in Mental Health Counselor and Nurse Practitioner. 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 at this address and 2 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 Erta Behavioral Health, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.