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ANTHEM BEHAVIORAL HEALTH, LLC
NPI 1497570402
Nurse Practitioner - Psychiatric/Mental Health in Cockeysville, MD

Active since November 15, 2024
201 INTERNATIONAL CIR STE 230, COCKEYSVILLE, MD 21030(443) 567-6091(443) 567-6191 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2025, Dec 3, 2024, Nov 15, 2024 (3 updates tracked since 2024).

About Anthem Behavioral Health, Llc NPPES

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

ANTHEM BEHAVIORAL HEALTH, LLC (NPI 1497570402) is a healthcare organization registered as a psychiatric/mental health in Cockeysville, Maryland and active in the NPI registry since November 2024. The organization lists Jennifer Petrik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497570402
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameANTHEM BEHAVIORAL HEALTH, LLC
Location Address201 INTERNATIONAL CIR STE 230Cockeysville, MD 21030-1344
Mailing Address404 N Hickory AveBel Air, MD 21014-3227 · (410) 459-7699
Phone(443) 567-6091
Fax(443) 567-6191
Organization SubpartNo
Authorized OfficialJennifer PetrikCeo · (443) 567-6091
Enumeration DateNovember 15, 2024
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1497570402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
201 INTERNATIONAL CIR STE 230, Cockeysville, MD 21030
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Other Names 1

Doing Business AsAnthem Behavioral Health, Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthem 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 Anthem Behavioral Health, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Bria Gibbons, LCSWC
Clinical Social Worker
NPI 1376276444
802 BALTIMORE PIKE
Bel Air, MD 21014
(443) 643-2422
✔ PECOS✔ Accepts Medicare16 mi
Lisa Yost-Heick, LCSW-C
Clinical Social Worker
NPI 1376207191
604 GREYHOUND RD
Essex, MD 21221
(443) 814-8852
✔ PECOS✔ Accepts Medicare19 mi
Patrick Mcdonald, CRNP PMH
Nurse Practitioner
NPI 1215284815
135 N PARKE ST
Aberdeen, MD 21001
(443) 625-1600
✔ PECOS✔ Accepts Medicare27 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 Anthem Behavioral Health, LLC's NPI number?

The NPI number for Anthem Behavioral Health, LLC is 1497570402. It was assigned to this organization in the NPPES registry on November 15, 2024.

Where is Anthem Behavioral Health, LLC located?

Anthem Behavioral Health, LLC is located at 201 International Cir Ste 230, Cockeysville, MD 21030. The listed phone number is (443) 567-6091.

What is Anthem 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 Anthem Behavioral Health, LLC enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Anthem Behavioral Health, LLC, in Clinical Social Worker 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anthem Behavioral Health, LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.