BCB LIBERTY HEALTH CARE LLC
NPI 1518688100
Clinic/Center - Mental Health (Including Community Mental Health Center) in Baltimore, MD

Q: What is Bcb Liberty Health Care LLC's NPI number?

The NPI number for Bcb Liberty Health Care LLC is 1518688100. It was assigned to this organization in the NPPES registry on September 12, 2022.

Q: What is Bcb Liberty Health Care 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.

Active since September 12, 2022

1 N CHARLES ST STE 901, BALTIMORE, MD 21201(937) 422-4039(410) 888-3889 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2023, Oct 13, 2022, Sep 12, 2022 (3 updates tracked since 2022).

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About Bcb Liberty Health Care Llc NPPES

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

BCB LIBERTY HEALTH CARE LLC (NPI 1518688100) is a healthcare organization registered as a mental health (including community mental health center) in Baltimore, Maryland and active in the NPI registry since September 2022. The organization maintains a secondary practice location in Washington and lists Caroline Bonu, President, as its authorized official.

NPPES Registry Identity

NPI1518688100

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameBCB LIBERTY HEALTH CARE LLC

Location Address1 N CHARLES ST STE 901Baltimore, MD 21201-3740

Mailing Address7410 Rigby PlElkridge, MD 21075-7287

Phone(937) 422-4039

Fax(410) 888-3889

Organization SubpartNo

Authorized OfficialCaroline BonuPresident · (374) 224-0939

Enumeration DateSeptember 12, 2022

Last NPPES UpdateJune 17, 20263 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1518688100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1 N CHARLES ST STE 901, Baltimore, MD 21201

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Secondary Practice Location 1

Location 11638 R St NWWashington, DC 20009-6446 · Phone (937) 422-4093

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Bcb Liberty Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bcb Liberty Health Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Marita Formin, NP

Nurse Practitioner

NPI 1568827855

7375 EXECUTIVE PL
Lanham, MD 20706

(202) 940-2022

✔ PECOS✔ Accepts Medicare24 mi

Maureen Anyangwa-Ngeh, LICSW, LCSW-C

Clinical Social Worker

NPI 1649876012

9791 GOOD LUCK RD APT 16
Lanham, MD 20706

(301) 661-2171

✔ PECOS25 mi

Caroline Bonu

Nurse Practitioner

NPI 1104592328

4130 HUNT PL NE
Washington, DC 20019

(202) 388-4300

✔ PECOS✔ Accepts Medicare32 mi

Adebunmi Sanwoola, CRNP

Nurse Practitioner

NPI 1053011593

1221 TAYLOR ST NW
Washington, DC 20011

(202) 464-9200

✔ PECOS✔ Accepts Medicare33 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 Bcb Liberty Health Care LLC's NPI number?

The NPI number for Bcb Liberty Health Care LLC is 1518688100. It was assigned to this organization in the NPPES registry on September 12, 2022.

Where is Bcb Liberty Health Care LLC located?

Bcb Liberty Health Care LLC is located at 1 N Charles St Ste 901, Baltimore, MD 21201. The listed phone number is (937) 422-4039.

What is Bcb Liberty Health Care 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 Bcb Liberty Health Care LLC enrolled in Medicare?

Yes. Bcb Liberty Health Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bcb Liberty Health Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bcb Liberty Health Care 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. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bcb Liberty Health Care LLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.