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WBMW WELLNESS CENTER LLC
NPI 1972132264
Nurse Practitioner - Psychiatric/Mental Health in Ellicott City, MD

Active since April 07, 2020CLIA 21D2192810 · Waiver
3459 SAINT JOHNS LN STE 4, ELLICOTT CITY, MD 21042(301) 909-8150(301) 909-8151 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2025, Jul 9, 2020, Apr 7, 2020 (3 updates tracked since 2020).

About Wbmw Wellness Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WBMW WELLNESS CENTER LLC (NPI 1972132264) is a healthcare organization registered as a psychiatric/mental health in Ellicott City, Maryland and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Biliki S Douglas, President, as its authorized official.

NPPES Registry Identity

NPI1972132264
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWBMW WELLNESS CENTER LLC
Location Address3459 SAINT JOHNS LN STE 4Ellicott City, MD 21042-4025
Mailing Address3459 Saint Johns Ln Ste 4Ellicott City, MD 21042-4025 · (301) 909-8150 · Fax (301) 909-8151
Phone(301) 909-8150
Fax(301) 909-8151
Organization SubpartNo
Authorized OfficialBiliki S DouglasPresident · (301) 909-8150
Enumeration DateApril 7, 2020
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1972132264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3459 SAINT JOHNS LN STE 4, Ellicott City, MD 21042
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wbmw 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 Wbmw Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Biliki Douglas, PMHNP-BC
Nurse Practitioner
NPI 1801459193
3459 SAINT JOHNS LN
Ellicott City, MD 21042
(301) 909-8150
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2192810

Wbmw Wellness Center LLC · Ellicott City, MD
Active · expires Apr 13, 2028
CLIA Number21D2192810
Laboratory TypePractitioner Other
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorBiliki Douglas
Laboratory Phone(301) 909-8150
Laboratory LocationWbmw Wellness Center LLC3459 Saint Johns Lane Suite 4, Ellicott City, MD 21042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wbmw Wellness Center LLC's NPI number?

The NPI number for Wbmw Wellness Center LLC is 1972132264. It was assigned to this organization in the NPPES registry on April 7, 2020.

Where is Wbmw Wellness Center LLC located?

Wbmw Wellness Center LLC is located at 3459 Saint Johns Ln Ste 4, Ellicott City, MD 21042. The listed phone number is (301) 909-8150.

What is Wbmw 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 Wbmw Wellness Center LLC enrolled in Medicare?

Yes. Wbmw Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wbmw Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wbmw 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.

Does Wbmw Wellness Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2192810) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wbmw Wellness Center LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.