Organization Active NPI

Healthy Minds Mental Health Counseling Services PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1295482453
Registry record updated Mar 8, 2022
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
HEALTHY MINDS MENTAL HEALTH COUNSELING SERVICES PLLC
Doing business as
Healthy Minds Mental Health Counseling Services PLLC
Practice address
2120 E Sergeant St
Philadelphia, PA 19125-1729
Phone
(646) 327-2059
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Juan PeraltaNPI 1184012288
Title
Director
Phone
(646) 327-2059

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

2120 E Sergeant St
Philadelphia, PA 19125-1729

Mailing address

2120 E Sergeant St
Philadelphia, PA 19125-1729
Phone (646) 327-2059

Other names 1

  • Healthy Minds Mental Health Counseling Services PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241023000135 PA Part B Supplier - Clinic/Group Practice 4385177898 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20250228000353 NY Part B Supplier - Clinic/Group Practice 4385177898 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY

National Provider Directory

National Provider Directory

Locations

580 White Plains Rd
Tarrytown, NY 10591
Phone (914) 447-1000

Practitioners & affiliated clinicians

Practitioners 3

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": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1295482453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E SERGEANT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251729",
            "telephone_number": "646-327-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E SERGEANT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251729",
            "telephone_number": "646-327-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "PERALTA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-327-2059"
    },
    "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": [
        {
            "organization_name": "Healthy Minds Mental Health Counseling Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.