NPIMap

Organization Active NPI

Free Mind Integrated Services LLC

  • Mental Health Counselor
  • Fort Washington, MD
National Provider Identifier
1093432403
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREE MIND INTEGRATED SERVICES LLC
Practice address
9718 Poling Ter
Fort Washington, MD 20744-3970
Phone
(202) 677-9732
Fax
(470) 705-9700
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Stacey Michelle RoweNPI 1083213433
Title
Owner
Phone
(202) 677-9732

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9718 Poling Ter
Fort Washington, MD 20744-3970

Mailing address

9718 Poling Ter
Fort Washington, MD 20744-3970
Phone (202) 677-9732

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://theranest.com/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2 20th St N
Ste 500
Birmingham, AL 35203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1093432403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 POLING TER",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443970",
            "telephone_number": "202-677-9732",
            "fax_number": "470-705-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 POLING TER",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207443970",
            "telephone_number": "202-677-9732",
            "fax_number": "470-705-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MIND INTEGRATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-677-9732"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://theranest.com/",
            "affiliation": "N",
            "endpointDescription": "TheraNest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 20th St N Ste 500",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352034013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.