Active NPI
Al-Jumal Mitchell, LPC
- Mental Health Counselor
- Middle River, MD
National Provider Identifier
1194553917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 08872
- Practice address
- 47 Gravelo Cir
Middle River, MD 21220-3628 - Phone
- (443) 791-2600
- NPI assigned
- Jul 23, 2024
- Reactivated
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 08872 | PA | Primary |
Addresses
Primary practice location
47 Gravelo Cir
Middle River, MD 21220-3628
Mailing address
47 Gravelo Cir
Middle River, MD 21220-3628
Phone (443) 791-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08872 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Mitchell LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1194553917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 GRAVELO CIR",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203628",
"telephone_number": "443-791-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 GRAVELO CIR",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212203628",
"telephone_number": "443-791-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "AL-JUMAL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2024-08-26",
"certification_date": "2024-07-23",
"deactivation_date": "2024-07-29",
"reactivation_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "08872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle River, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.