Mindy Krupp LCSW-C Therapist LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11408 Issued in MD

Legal business name

MINDY KRUPP LCSW-C THERAPIST LLC

Practice address

14350 Solomons Island Road
Solomons, MD 20688

Phone

(443) 404-5320

NPI assigned

Jun 4, 2015

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Krupp, LCSW-CNPI 1619098654

Title

Owner

Phone

(443) 404-5320

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mindy Krupp, LCSW-C

  • Clinical Social Worker
  • La Plata, MD
  • NPI 1619098654
  NPD (past) Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1275913212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206880915",
            "telephone_number": "443-404-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SOLOMONS ISLAND ROAD",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "20688",
            "telephone_number": "443-404-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY KRUPP LCSW-C THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KRUPP",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-404-5320",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "11408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Solomons, MD
• Providers in Solomons, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.