MARYLAND WELLNESS LLC
NPI 1699358572
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waldorf, MD
About Maryland Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYLAND WELLNESS LLC (NPI 1699358572) is a healthcare organization registered as a mental health (including community mental health center) in Waldorf, Maryland and active in the NPI registry since April 2021. The organization lists Sierra Burley, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryland Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Maryland Wellness LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: 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 Maryland Wellness LLC's NPI number?
The NPI number for Maryland Wellness LLC is 1699358572. It was assigned to this organization in the NPPES registry on April 29, 2021.
Where is Maryland Wellness LLC located?
Maryland Wellness LLC is located at 2255 Crain Hwy Ste 106, Waldorf, MD 20601. The listed phone number is (410) 241-6317.
What is Maryland Wellness 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 Maryland Wellness LLC enrolled in Medicare?
Yes. Maryland Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maryland Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Maryland Wellness 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 Clinical Social Worker (11), Mental Health Counselor (11) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Maryland Wellness LLC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Maryland Wellness Llc · NPI 1699358572
Mental Health (Including Community Mental Health Center) organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1699358572 (Entity type: Organization)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of Maryland Wellness Llc)
- **Authorized official:** Sierra Burley, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 2255 CRAIN HWY STE 106, Waldorf, MD 20601-3186
- **Phone:** (410) 241-6317
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (11), Mental Health Counselor (11), Nurse Practitioner (5); [full list](https://npiprofile.com/npi/1699358572/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2025
- **Other identifiers:** Other 220412456 (MD); Other 220412458 (MD); Other 220412457 (MD); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1699358572) · Data from the CMS NPPES public registry.