Organization Active NPI

Mindspace Clinical Counseling LLC

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1245966951
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDSPACE CLINICAL COUNSELING LLC
Practice address
12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725
Phone
(240) 394-6530
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Esther H Kim, LCSW-CNPI 1235887050
Title
Licensed Clinical Social Worker
Phone
(240) 394-6530

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

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725

Mailing address

12345 Parklawn Dr Ste 200
Rockville, MD 20852-1725
Phone (202) 487-3813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekim@mindspaceclinicalcounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230109001876 MD Part B Supplier - Clinic/Group Practice 7214304138 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD
O20230403000749 DC Part B Supplier - Clinic/Group Practice 7214304138 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1245966951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "202-487-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 PARKLAWN DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521725",
            "telephone_number": "240-394-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE CLINICAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "240-394-6530",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekim@mindspaceclinicalcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "12345 Parklawn Dr Ste 200",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208521725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.