NPIMap

Organization Active NPI

LCH Behavioral Health, Inc.

  • Psychiatry Physician
  • Gaithersburg, MD
National Provider Identifier
1801598438
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
LCH BEHAVIORAL HEALTH, INC.
Practice address
12 S Summit Ave
100-A23
Gaithersburg, MD 20877-1301
Phone
(301) 330-0400
Fax
(301) 591-4045
NPI assigned
Mar 20, 2023
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Lisa Green GordonNPI 1912921966
Title
Ceo
Phone
(301) 330-0400

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X
Clinical Social Worker 1041C0700X
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
Psychiatry Physician 2084P0800X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

12 S Summit Ave
100-A23
Gaithersburg, MD 20877-1301

Mailing address

6800 Wisconsin Ave # 1137
Chevy Chase, MD 20815-6105
Phone (301) 330-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008001654 DC Part B Supplier - Clinic/Group Practice 3072056472 Receives reassigned benefits from 3 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

6800 Wisconsin Ave
#1137
Chevy Chase, MD 20815

12 S Summit Ave
#100A23
Gaithersburg, MD 20877
Phone (301) 330-0400

9055 Shady Grove Ct
Gaithersburg, MD 20877
Phone (301) 330-0400

Practitioners & affiliated clinicians

Practitioners 4

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": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1801598438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WISCONSIN AVE # 1137",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156105",
            "telephone_number": "301-330-0400",
            "fax_number": "301-591-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S SUMMIT AVE",
            "address_2": "100-A23",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-330-0400",
            "fax_number": "301-591-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCH BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-330-0400"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.