ZEAL MENTAL HEALTH & WELLNESS CENTER LLC
NPI 1861353088
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD
About Zeal Mental Health & Wellness Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZEAL MENTAL HEALTH & WELLNESS CENTER LLC (NPI 1861353088) is a healthcare organization registered as a psychiatric/mental health in Waldorf, Maryland and active in the NPI registry since November 2025. The organization lists Jackie Gonzalez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zeal Mental Health & Wellness Center 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 Zeal Mental Health & Wellness Center 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 Zeal Mental Health & Wellness Center LLC's NPI number?
The NPI number for Zeal Mental Health & Wellness Center LLC is 1861353088. It was assigned to this organization in the NPPES registry on November 18, 2025.
Where is Zeal Mental Health & Wellness Center LLC located?
Zeal Mental Health & Wellness Center LLC is located at 4307 Eagle Trace Ct, Waldorf, MD 20602. The listed phone number is (301) 818-3805.
What is Zeal Mental Health & Wellness Center LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Zeal Mental Health & Wellness Center LLC enrolled in Medicare?
Yes. Zeal Mental Health & Wellness Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Zeal Mental Health & Wellness Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Zeal Mental Health & Wellness Center 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 Zeal Mental Health & Wellness Center LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Zeal Mental Health & Wellness Center Llc · NPI 1861353088
Psychiatric/Mental Health organization in Waldorf, Maryland. Organization record, active in the CMS NPPES registry since November 18, 2025.
## Identity
- **NPI:** 1861353088 (Entity type: Organization)
- **Enumerated:** November 18, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jackie Gonzalez, OWNER
## Practice location
- **Address:** 4307 EAGLE TRACE CT, Waldorf, MD 20602-3116
- **Phone:** (301) 818-3805
## 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 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861353088) · Data from the CMS NPPES public registry.