C.C.C.C., LLC – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1992965552
Mental Health Clinic/Center (Including Community Mental Health Center)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for C.C.C.C., LLC
1400 Mercantile Ln Ste 252
Upper Marlboro, MD 207745333
Phone: (202) 544-5440
Fax: (202) 544-3004
Type: Location
1235 S Clark St Ste 510
Arlington, VA 222024362
Phone: (202) 544-5440
Fax: (202) 544-3004
Type: Location
12403, Round Tree Lane, Bowie, Prince George's County, Maryland, 20715, United States
BOWIE, MD 207151072
Phone: (202) 297-4477
Fax: (202) 544-3004
Type: Mailing
650 PENNSYLVANIA AVE SE
STE 440
WASHINGTON, DC 200034424
Phone: (202) 544-5440
Fax: (202) 544-3004
Type: Mailing
PNC Bank, 650, Pennsylvania Avenue Southeast, Capitol Hill, Washington, Washington, D.C., 20003, United States
STE 440
WASHINGTON, DC 200034424
Phone: (202) 544-5440
Fax: (202) 544-3004
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20151221000254 | O | Clinic/Group Practice | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20774)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.