ELEVATE MENTAL WELLNESS LLC
NPI 1790679504
Clinic/Center - Mental Health (Including Community Mental Health Center) in Reisterstown, MD
About Elevate Mental Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEVATE MENTAL WELLNESS LLC (NPI 1790679504) is a healthcare organization registered as a mental health (including community mental health center) in Reisterstown, Maryland and active in the NPI registry since June 2025. The organization lists Marcus Whitehead, Executive Director, 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)
Elevate Mental Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Elevate Mental Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Elevate Mental Wellness LLC's NPI number?
The NPI number for Elevate Mental Wellness LLC is 1790679504. It was assigned to this organization in the NPPES registry on June 5, 2025.
Where is Elevate Mental Wellness LLC located?
Elevate Mental Wellness LLC is located at 25 Main St Ste D, Reisterstown, MD 21136. The listed phone number is (410) 205-5390.
What is Elevate Mental 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 Elevate Mental Wellness LLC enrolled in Medicare?
Yes. Elevate Mental Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Elevate Mental Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Elevate Mental Wellness LLC, in Clinical Social Worker, Mental Health Counselor 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 Elevate Mental Wellness LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Elevate Mental Wellness Llc · NPI 1790679504
Mental Health (Including Community Mental Health Center) organization in Reisterstown, Maryland. Organization record, active in the CMS NPPES registry since June 5, 2025.
## Identity
- **NPI:** 1790679504 (Entity type: Organization)
- **Enumerated:** June 5, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Marcus Whitehead, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 25 MAIN ST STE D, Reisterstown, MD 21136-1297
- **Phone:** (410) 205-5390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (1), Mental Health Counselor (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790679504) · Data from the CMS NPPES public registry.