Maryland Wellness LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Cumberland, MD
NPI 1043858970 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1043858970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- MARYLAND WELLNESS LLC
- Practice address
- 519 N Mechanic St
Cumberland, MD 21502-2133 - Phone
- (410) 241-6317
- NPI assigned
- Dec 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Sierra Burley
- Title
- Credentialing Specialist
- Phone
- (410) 314-1030
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 38
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611002298 | MD | Part B Supplier - Clinic/Group Practice | 6406278803 |
Receives reassigned benefits from 28 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baltimore, MD; Cumberland, MD; Hagerstown, MD; Waldorf, MD |
National Provider Directory
- Tax ID family
- Maryland Wellness LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist |
103TP2701X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
519 N Mechanic St
Cumberland, MD 21502-2133
Mailing address
4128 Hayward Ave # W
Baltimore, MD 21215-4340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220412452 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 220412448 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 220412451 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 220412449 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
| 220412450 | Other | MD | MARYLAND BEHAVIORAL HEALTH ADMINISTRATION |
Other providers in Cumberland, MD
- Robert Jay Martin
- Shannon Nicole Martin
- Martinsburg Vamc
- Mary Anne Jenkins DDS Ms LLC
- Maryland Sportscare & Rehab LLC
- Maryland Wellness LLC
- Maryland Wellness LLC
- Maryland Wellness LLC
- Maryland Wellness LLC
- Maryland Wellness LLC
All providers in Cumberland, MD · Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.