Organization Active NPI

M Mental Health and Wellness Plus LLC

Doing business as M Mental Health and Wellness Plus

  • Community/Behavioral Health Agency
  • Silver Spring, MD
National Provider Identifier
1366991697
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
M MENTAL HEALTH AND WELLNESS PLUS LLC
Doing business as
M Mental Health and Wellness Plus
Practice address
12301 Old Columbia Pike Ste 201
Silver Spring, MD 20904-1656
Phone
(301) 693-4888
Fax
(301) 328-0103
NPI assigned
Sep 28, 2016
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Jeannette N Mwangacucu, MS, LCSW-C, LICSWNPI 1235560913
Title
Executive Director
Phone
(301) 693-4888

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

12301 Old Columbia Pike Ste 201
Silver Spring, MD 20904-1656

Mailing address

PO Box 733
Beltsville, MD 20704-0733
Phone (301) 693-4888

Other practice location 1

7207 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-2684
Phone (301) 693-3888

Other practice location 2

46000 Powder Mill Road
Suite 450-I
Beltsville, MD 20705-1383
Phone (301) 693-4888

Other names 1

  • M Mental Health and Wellness Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170109000673 DC Part B Supplier - Clinic/Group Practice 2163703026 Receives reassigned benefits from 2 practitioners
Practice locations: Silver Spring, MD
O20190403000196 MD Part B Supplier - Clinic/Group Practice 2163703026 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Burnie, MD

National Provider Directory

National Provider Directory
Tax ID family
M Mental Health and Wellness Plus LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4600 Powder Mill Rd
Ste 450C
Beltsville, MD 20705
Phone (301) 693-4888

7207 Baltimore Annapolis Blvd
Ste B
Glen Burnie, MD 21061
Phone (301) 693-4888

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": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1366991697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207040733",
            "telephone_number": "301-693-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041656",
            "telephone_number": "301-693-4888",
            "fax_number": "301-328-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7207 Baltimore Annapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210612684",
            "country_code": "US",
            "telephone_number": "301-693-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46000 Powder Mill Road",
            "address_2": "Suite 450-I",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207051383",
            "country_code": "US",
            "telephone_number": "301-693-4888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M MENTAL HEALTH AND WELLNESS PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MWANGACUCU",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-693-4888",
        "authorized_official_credential": "MS, LCSW-C, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Mental Health and Wellness Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M Mental Health and Wellness Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.