PEACEFUL MIND BEHAVIORAL HEALTH LLC
NPI 1679383087
Nurse Practitioner - Psychiatric/Mental Health in Beltsville, MD

Active since January 08, 2025
12907 NORTHAMPTON DR, BELTSVILLE, MD 20705(240) 507-0015 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peaceful Mind Behavioral Health Llc NPPES

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

PEACEFUL MIND BEHAVIORAL HEALTH LLC (NPI 1679383087) is a healthcare organization registered as a psychiatric/mental health in Beltsville, Maryland and active in the NPI registry since January 2025. The organization lists Kumutha Daniel, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1679383087
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEACEFUL MIND BEHAVIORAL HEALTH LLC
Location Address12907 NORTHAMPTON DRBeltsville, MD 20705-6333
Mailing Address12907 Northampton DrBeltsville, MD 20705-6333 · (240) 507-0015
Organization SubpartNo
Authorized OfficialKumutha DanielManaging Member · (240) 507-0015
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1679383087 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
12907 NORTHAMPTON DR, Beltsville, MD 20705

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)

Peaceful Mind Behavioral Health 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 Peaceful Mind Behavioral Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1225627136
1401 MERCANTILE LN STE 200H
Largo, MD 20774
(301) 957-5451
✔ PECOS✔ Accepts Medicare11 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 Peaceful Mind Behavioral Health LLC's NPI number?

The NPI number for Peaceful Mind Behavioral Health LLC is 1679383087. It was assigned to this organization in the NPPES registry on January 8, 2025.

Where is Peaceful Mind Behavioral Health LLC located?

Peaceful Mind Behavioral Health LLC is located at 12907 Northampton Dr, Beltsville, MD 20705. The listed phone number is (240) 507-0015.

What is Peaceful Mind 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 Peaceful Mind Behavioral Health LLC enrolled in Medicare?

Yes. Peaceful Mind Behavioral Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peaceful Mind Behavioral Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Peaceful Mind Behavioral Health 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 Peaceful Mind Behavioral Health LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.