NPIMap

Organization Active NPI

Healthy Minds LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
National Provider Identifier
1164058970
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTHY MINDS LLC
Practice address
9114 Philadelphia Rd Ste 106
Rosedale, MD 21237-4346
Phone
(240) 443-8255
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Jacquette Jacobs, LCPCNPI 1386996866
Title
Founder/Owner
Phone
(240) 468-8476

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/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9114 Philadelphia Rd Ste 106
Rosedale, MD 21237-4346

Mailing address

2919 Cub Hill Rd
Parkville, MD 21234-1126
Phone (240) 468-8476

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjacobs@hmllc.org

National Provider Directory

National Provider Directory
Tax ID family
Healthy Minds LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1164058970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 CUB HILL RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341126",
            "telephone_number": "240-468-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD STE 106",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374346",
            "telephone_number": "240-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JACQUETTE",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "240-468-8476",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjacobs@hmllc.org",
            "affiliation": "N",
            "address_1": "9114 Philadelphia Rd Ste 106",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212374346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.