Organization Active NPI

F&M Behavioral Healthcare Services

Doing business as F&M Renounce Healthcare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waldorf, MD
National Provider Identifier
1356993034
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
F&M BEHAVIORAL HEALTHCARE SERVICES
Doing business as
F&M Renounce Healthcare Services
Practice address
3200 Crain Hwy Ste 102
Waldorf, MD 20603-4841
Phone
(301) 675-1652
Fax
(240) 607-8461
NPI assigned
Jul 12, 2019
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nji Fru, NPNPI 1275893794
Title
Owner
Phone
(301) 675-1652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3200 Crain Hwy Ste 102
Waldorf, MD 20603-4841

Mailing address

17505 Madrillon Way
Accokeek, MD 20607-3457
Phone (301) 675-1652

Other practice location 1

2501 Good Hope Rd SE
Washington, DC 20020-3011
Phone (202) 866-7505

Other identifiers 1

IdentifierTypeStateIssuer
091875814MedicaidDC

Other names 1

  • F&M Renounce Healthcare Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fmrenouncehealthcare@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210528001202 MD Part B Supplier - Clinic/Group Practice 1557760204 Receives reassigned benefits from 1 practitioner
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory

Locations

2670 Crain Hwy
Ste 408
Waldorf, MD 20601
Phone (301) 675-1652

3200 Crain Hwy
Ste 102
Waldorf, MD 20603
Phone (240) 478-2266

Interoperability endpoints

  • Direct secure messaging: fmrenouncehealthcare@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1356993034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 MADRILLON WAY",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073457",
            "telephone_number": "301-675-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY STE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034841",
            "telephone_number": "301-675-1652",
            "fax_number": "240-607-8461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Good Hope Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200203011",
            "country_code": "US",
            "telephone_number": "202-866-7505",
            "fax_number": "202-335-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "F&M BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "FRU",
        "authorized_official_first_name": "NJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-675-1652",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091875814",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fmrenouncehealthcare@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17505 Madrillon Way",
            "city": "Accokeek",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206073457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "F&M Renounce Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "F&M Renounce Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.