Yianni Mikalis, LCPC, LCPAT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC14418 Issued in MD

Practice address

624 S Wolfe St
Baltimore, MD 21231-3034

Phone

(240) 715-7991

NPI assigned

Mar 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Soulful Healing Center LLC

  • Professional Counselor
  • Baltimore, MD
  • NPI 1932929288
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1013666890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313034",
            "telephone_number": "240-715-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S WOLFE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313034",
            "telephone_number": "240-715-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKALIS",
        "first_name": "YIANNI",
        "credential": "LCPC, LCPAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC14418",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "MD",
            "license": "ATC367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mighty Behavioral Health Services
• Mighty Behavioral Health Services
• Joseph Anthony Migliazzo
• Miguel a Heredia, MD PA
• Olivia Kathryn Mihulka Hartman, MD
• Jamal A Mikdashi, M.D.
• Marita Kathrn Mike, MD
• Diaa Y. Mikhail, M.D.
• Judy Marie Mikola, CCC-SLP
• Allison J Mikolajczyk, LCSW-C

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.