BODY AND SOUL WELLNESS CENTER
NPI 1811615370
Clinic/Center - Adult Mental Health in Parkville, MD
About Body And Soul Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODY AND SOUL WELLNESS CENTER (NPI 1811615370) is a healthcare organization registered as an adult mental health in Parkville, Maryland and active in the NPI registry since August 2022. The organization lists Shaquetta Little-young, Owner, 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)
Body And Soul Wellness Center 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 Body And Soul Wellness Center, 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 Body And Soul Wellness Center's NPI number?
The NPI number for Body And Soul Wellness Center is 1811615370. It was assigned to this organization in the NPPES registry on August 19, 2022.
Where is Body And Soul Wellness Center located?
Body And Soul Wellness Center is located at 9613 Harford Rd Ste 3, Parkville, MD 21234. The listed phone number is (443) 714-0775.
What is Body And Soul Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Body And Soul Wellness Center enrolled in Medicare?
Yes. Body And Soul Wellness Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Body And Soul Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Body And Soul Wellness Center. 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 Body And Soul Wellness Center was last updated on February 21, 2023. 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.
# Body And Soul Wellness Center · NPI 1811615370
Adult Mental Health organization in Parkville, Maryland. Organization record, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1811615370 (Entity type: Organization)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Shaquetta Little-Young, OWNER
## Practice location
- **Address:** 9613 HARFORD RD STE 3, Parkville, MD 21234-2150
- **Phone:** (443) 714-0775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811615370) · Data from the CMS NPPES public registry.