Organization Active NPI

Empowered Mind and Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
National Provider Identifier
1164384665
Registry record updated Dec 2, 2025
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
EMPOWERED MIND AND WELLNESS CENTER LLC
Practice address
63 Pontiac Way
Gaithersburg, MD 20878-2792
Phone
(301) 275-5905
NPI assigned
Dec 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Nasim Ameri Cianaki, LCPCNPI 1487317889
Title
Mental Health Therapist
Phone
(301) 275-5905

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

Addresses

Primary practice location

63 Pontiac Way
Gaithersburg, MD 20878-2792

Mailing address

63 Pontiac Way
Gaithersburg, MD 20878-2792
Phone (301) 275-5905

National Provider Directory

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": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1164384665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PONTIAC WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782792",
            "telephone_number": "301-275-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PONTIAC WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782792",
            "telephone_number": "301-275-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED MIND AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "AMERI CIANAKI",
        "authorized_official_first_name": "NASIM",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "301-275-5905",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.