Mindful Transformations, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LC2933 Issued in MD

Legal business name

MINDFUL TRANSFORMATIONS, LLC

Practice address

1015 S Main St
Bel Air, MD 21014-5412

Phone

(667) 231-4286

NPI assigned

Dec 19, 2017

Organization subpart

No

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

Authorized official

Name

Karen Poehlman, LCPCNPI 1861644411

Title

Owner

Phone

(667) 231-4286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Karen Kristine Poehlman, LCPC

  • Professional Counselor
  • Fallston, MD
  • NPI 1861644411
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1164938775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145412",
            "telephone_number": "667-231-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S MAIN ST",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145412",
            "telephone_number": "667-231-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "POEHLMAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "667-231-4286",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "LC2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Miller, PA-C
• Nicole Miller
• Shon Miller, LCPC
• Jessica Mincey, PT, DPT
• Mindful Living LLC
• Gina Marie Mininni, LCPC
• Adrienne Lynn Mink, FNP-C
• Rebecca Mink, MS, LCPC, NCC
• Minuteclinic LLC
• Bethany Felisa Miracle-Larson, RESIDENT

• Adult Mental Health Clinic/Center in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.