Mindfulness Mental Healthcare

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFULNESS MENTAL HEALTHCARE

Practice address

681 Falcon LN
Aberdeen, MD 21001-1299

Phone

(443) 502-2239

NPI assigned

Aug 7, 2023

Last updated

Aug 7, 2023By 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

Gokah Evans

Title

President

Phone

(757) 510-8086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1336821438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FALCON LN",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011299",
            "telephone_number": "443-502-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 FALCON LN",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011299",
            "telephone_number": "443-502-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS MENTAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GOKAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-510-8086"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medication Assisted Treatment Technologies
• Medstar Medical Group II LLC (MedStar Orthopaedic Institute at Aberdeen)
• Brenda Lynn Merrill
• Alexis Hagopian Miller, LGPC
• Kaylee Miller, LMSW
• Carol Mink
• Bianca Desiree Minor
• Janine Mirabile, PT
• Miraclehomehealthsolutions LLC
• Kristin R Mislak, LCSW-C

• Clinical Social Worker in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.