Organization Active NPI

Her Mind Her Body Clinical Associates

  • Community Health Worker
  • Baltimore, MD
National Provider Identifier
1104251347
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
LC4547 Issued in MD
Legal business name
HER MIND HER BODY CLINICAL ASSOCIATES
Practice address
2601 N Rolling Rd Ste 105
Baltimore, MD 21244-1988
Phone
(202) 250-4393
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Ms. Lachrisia Lorraine Matthews, LCPC, LPCNPI 1578819785
Title
Owner
Phone
(202) 250-4393

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
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X LC4547 MD Primary

Addresses

Primary practice location

2601 N Rolling Rd Ste 105
Baltimore, MD 21244-1988

Mailing address

9332 Annapolis Rd Ste 304
Lanham, MD 20706-3168
Phone (202) 250-4393

National Provider Directory

National Provider Directory
Tax ID family
Her Mind Her Body Clinical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1104251347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 ANNAPOLIS RD STE 304",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063168",
            "telephone_number": "202-250-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N ROLLING RD STE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212441988",
            "telephone_number": "202-250-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER MIND HER BODY CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LACHRISIA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-250-4393",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, LPC"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "MD",
            "license": "LC4547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.