PROACTIVE HEALTHCARE SERVICES LLC
NPI 1982459335
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glenn Dale, MD

Active since April 19, 2024
7023 CORNER CREEK WAY, GLENN DALE, MD 20769(227) 218-8737(808) 515-5506 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2025, May 20, 2025, Feb 28, 2025 and 1 more (4 updates tracked since 2024).

About Proactive Healthcare Services Llc NPPES

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

PROACTIVE HEALTHCARE SERVICES LLC (NPI 1982459335) is a healthcare organization registered as a mental health (including community mental health center) in Glenn Dale, Maryland and active in the NPI registry since April 2024. The organization lists Israel Ogunsola, President, as its authorized official.

NPPES Registry Identity

NPI1982459335
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROACTIVE HEALTHCARE SERVICES LLC
Location Address7023 CORNER CREEK WAYGlenn Dale, MD 20769-9472
Mailing Address7023 Corner Creek WayGlenn Dale, MD 20769-9472 · (227) 218-8737
Fax(808) 515-5506
Organization SubpartNo
Authorized OfficialIsrael OgunsolaPresident · (227) 218-8737
Enumeration DateApril 19, 2024
Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1982459335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7023 CORNER CREEK WAY, Glenn Dale, MD 20769

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Proactive Healthcare Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Proactive Healthcare Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1629794821
1221 MERCANTILE LN
Largo, MD 20774
(310) 386-6775
✔ PECOS5.8 mi
Nurse Practitioner
NPI 1164148367
5136 BELAIR RD
Baltimore, MD 21206
(240) 373-7355
✔ PECOS✔ Accepts Medicare28 mi

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 Proactive Healthcare Services LLC's NPI number?

The NPI number for Proactive Healthcare Services LLC is 1982459335. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Proactive Healthcare Services LLC located?

Proactive Healthcare Services LLC is located at 7023 Corner Creek Way, Glenn Dale, MD 20769. The listed phone number is (227) 218-8737.

What is Proactive Healthcare Services 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 Proactive Healthcare Services LLC enrolled in Medicare?

Yes. Proactive Healthcare Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Healthcare Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Proactive Healthcare Services 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. Of these, 1 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 Proactive Healthcare Services LLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.