Organization Active NPI

Clearmind Mental Health Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North East, MD
National Provider Identifier
1013887512
Registry record updated Feb 10, 2026
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
CLEARMIND MENTAL HEALTH THERAPY SERVICES LLC
Practice address
102 E Cecil Ave Ste B
North East, MD 21901-4057
Phone
(443) 350-5447
NPI assigned
Nov 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Jessica Buranen
Title
Owner
Phone
(443) 350-5447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

102 E Cecil Ave Ste B
North East, MD 21901-4057

Mailing address

163 Riverside Dr
Elkton, MD 21921-5019

Other practice location 1

163 Riverside Dr
Elkton, MD 21921-5019
Phone (443) 350-5447

Other identifiers 1

IdentifierTypeStateIssuer
363890100MedicaidMD

National Provider Directory

National Provider Directory

Locations

102 E Cecil Ave
Ste B
North East, MD 21901
Phone (443) 760-0068

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1013887512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 RIVERSIDE DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CECIL AVE STE B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219014057",
            "telephone_number": "443-350-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215019",
            "country_code": "US",
            "telephone_number": "443-350-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARMIND MENTAL HEALTH THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BURANEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-350-5447"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363890100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North East, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.