Organization Active NPI

Mindspace Integrated Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, VA
National Provider Identifier
1316865355
Registry record updated Jul 7, 2026
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
MINDSPACE INTEGRATED CARE LLC
Practice address
5290 Shawnee Rd
Alexandria, VA 22312-2381
Phone
(571) 265-5969
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Ms. Fatmata Sorie KamaraNPI 1093410789
Title
Pmhnp
Phone
(571) 265-5969

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

5290 Shawnee Rd
Alexandria, VA 22312-2381

Mailing address

4203 Vernoy Hills CMN
Fairfax, VA 22033-4399
Phone (571) 265-5969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1316865355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 VERNOY HILLS CMN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334399",
            "telephone_number": "571-265-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SHAWNEE RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122381",
            "telephone_number": "571-265-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPACE INTEGRATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "FATMATA",
        "authorized_official_middle_name": "SORIE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "571-265-5969",
        "authorized_official_name_prefix": "Ms."
    },
    "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": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.