Mentor-Maryland

Mentor-Maryland is a healthcare organization registered as Community/Behavioral Health Agency in Frederick, MD, holding Type 2 (organization) NPI 1104352368 since 2017. The authorized official on file is Carol Simmons, Director, Omhc.

✓ Active NPI ✓ Valid NPI checksum

NPI	1104352368
Entity type	Organization (Type 2)
Legal business name	Mentor-Maryland
Practice address	5970 FREDERICK CROSSING LANE, #202, Frederick, MD, 21704
Phone	3015240977
Enumeration date	2017-05-10
Last updated in NPPES	2017-05-10

Authorized official

Name	Carol Simmons
Title	Director, Omhc
Phone	4104554600

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
251S00000X	Community/Behavioral Health Agency	Primary	MH-2279	MD

Other identifiers

Identifier	Type	State	Issuer
056668	Medicaid	MD	—

Copy-ready billing details

Provider: Mentor-Maryland
NPI: 1104352368
Taxonomy: 251S00000X (Community/Behavioral Health Agency)
Address: 5970 FREDERICK CROSSING LANE, #202, Frederick, MD, 21704

Verify this record

Cross-check NPI 1104352368 against the authoritative CMS record: view Mentor-Maryland on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mentor-Maryland located?

The practice location on file with NPPES is in Frederick, MD.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-05-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2017-05-10.