BEULAHSPRING BEHAVIORAL HEALTH SERVICES LLC
NPI 1790492270
Clinic/Center - Mental Health (Including Community Mental Health Center) in Upper Marlboro, MD
About Beulahspring Behavioral Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEULAHSPRING BEHAVIORAL HEALTH SERVICES LLC (NPI 1790492270) is a healthcare organization registered as a mental health (including community mental health center) in Upper Marlboro, Maryland and active in the NPI registry since November 2022. The organization lists Regina Ekong, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beulahspring Behavioral Health Services 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 Beulahspring Behavioral Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Beulahspring Behavioral Health Services LLC's NPI number?
The NPI number for Beulahspring Behavioral Health Services LLC is 1790492270. It was assigned to this organization in the NPPES registry on November 3, 2022.
Where is Beulahspring Behavioral Health Services LLC located?
Beulahspring Behavioral Health Services LLC is located at 13908 Edsall St, Upper Marlboro, MD 20772. The listed phone number is (240) 602-7099.
What is Beulahspring Behavioral Health Services 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 Beulahspring Behavioral Health Services LLC enrolled in Medicare?
Yes. Beulahspring Behavioral Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Beulahspring Behavioral Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Beulahspring Behavioral Health Services 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 Beulahspring Behavioral Health Services LLC was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Beulahspring Behavioral Health Services Llc · NPI 1790492270
Mental Health (Including Community Mental Health Center) organization in Upper Marlboro, Maryland. Organization record, active in the CMS NPPES registry since November 3, 2022.
## Identity
- **NPI:** 1790492270 (Entity type: Organization)
- **Enumerated:** November 3, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Regina Ekong, PROVIDER
## Practice location
- **Address:** 13908 EDSALL ST, Upper Marlboro, MD 20772-6849
- **Phone:** (240) 602-7099
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790492270) · Data from the CMS NPPES public registry.