NPIMap

Organization Active NPI

Grace and Mercy Community Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
National Provider Identifier
1366137168
Registry record updated May 8, 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
GRACE AND MERCY COMMUNITY SERVICES INCORPORATED
Practice address
4601 Presidents Drive
Suite 232
Lanham, MD 20706
Phone
(202) 853-8109
Fax
(301) 441-2360
NPI assigned
Apr 7, 2023
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Dr. Mercy ForluNPI 1194346239
Title
Director
Phone
(202) 359-9725

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

4601 Presidents Drive
Suite 232
Lanham, MD 20706

Mailing address

4601 Presidents Drive
Suite 232
Lanham, MD 20706

Other identifiers 1

IdentifierTypeStateIssuer
425096600MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515000946 DC Part B Supplier - Clinic/Group Practice 5890213656 Receives reassigned benefits from 7 practitioners
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory
Tax ID family
Grace and Mercy Community Services Incorporated6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

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": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1366137168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DRIVE",
            "address_2": "SUITE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PRESIDENTS DRIVE",
            "address_2": "SUITE 232",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "202-853-8109",
            "fax_number": "301-441-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY COMMUNITY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "FORLU",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-359-9725",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425096600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.