CHANGING LIVES ADULT & YOUTH SERVICES
NPI 1902241250
Clinic/Center - Mental Health (Including Community Mental Health Center) in Temple Hills, MD
About Changing Lives Adult & Youth Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANGING LIVES ADULT & YOUTH SERVICES (NPI 1902241250) is a healthcare organization registered as a mental health (including community mental health center) in Temple Hills, Maryland and active in the NPI registry since April 2013. The organization lists Sydney Baskins, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Changing Lives Adult & Youth Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Changing Lives Adult & Youth Services, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Changing Lives Adult & Youth Services's NPI number?
The NPI number for Changing Lives Adult & Youth Services is 1902241250. It was assigned to this organization in the NPPES registry on April 30, 2013.
Where is Changing Lives Adult & Youth Services located?
Changing Lives Adult & Youth Services is located at 4810 Saint Barnabas Rd Ste 203, Temple Hills, MD 20748. The listed phone number is (202) 431-5576.
What is Changing Lives Adult & Youth Services'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 Changing Lives Adult & Youth Services enrolled in Medicare?
Yes. Changing Lives Adult & Youth Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Changing Lives Adult & Youth Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Changing Lives Adult & Youth Services. 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 (6), Nurse Practitioner (3) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Changing Lives Adult & Youth Services was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Changing Lives Adult & Youth Services · NPI 1902241250
Mental Health (Including Community Mental Health Center) organization in Temple Hills, Maryland. Organization record, active in the CMS NPPES registry since April 30, 2013.
## Identity
- **NPI:** 1902241250 (Entity type: Organization)
- **Enumerated:** April 30, 2013
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Sydney Baskins, CEO
## Practice location
- **Address:** 4810 SAINT BARNABAS RD STE 203, Temple Hills, MD 20748-4604
- **Phone:** (202) 431-5576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (6), Nurse Practitioner (3), Family Practice (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2019
- **Other identifiers:** Medicaid 1609320340 (MD); Medicaid 1902241250 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1902241250) · Data from the CMS NPPES public registry.