Organization Active NPI

Cornerstone Behavioral Care, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
National Provider Identifier
1740073543
Registry record updated Dec 29, 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
CORNERSTONE BEHAVIORAL CARE, LLC
Practice address
7100 Guilford Dr Ste 2012
Frederick, MD 21704-5257
Phone
(240) 788-3536
Fax
(240) 788-3922
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Jeanne Baleng OkuwobiNPI 1730989526
Title
Owner
Phone
(240) 788-3536

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

7100 Guilford Dr Ste 2012
Frederick, MD 21704-5257

Mailing address

2115 Regina Ter
Clarksburg, MD 20871-8507
Phone (301) 339-4641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250612001085 MD Part B Supplier - Clinic/Group Practice 8628588167 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

7100 Guilford Dr
Ste 2012
Frederick, MD 21704
Phone (240) 788-3536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1740073543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 REGINA TER",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208718507",
            "telephone_number": "301-339-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GUILFORD DR STE 2012",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045257",
            "telephone_number": "240-788-3536",
            "fax_number": "240-788-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "BALENG OKUWOBI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-788-3536"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.