Wellness Mind Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLNESS MIND CENTER LLC

Practice address

1413 K St NW FL 4
Washington, DC 20005-4577

Phone

(202) 430-6249

NPI assigned

Apr 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Juan RosasNPI 1881973725

Title

Ceo/Owner

Phone

(681) 443-5138

Specialties & licenses 1

Addresses

Other names 1

• Mindlevate Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Rosas

  • Clinical Social Worker
  • Washington, DC
  • NPI 1881973725
  NPD Authorized official

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1346860038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ARMY NAVY DR APT 1203",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222024928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 K ST NW FL 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054577",
            "telephone_number": "202-430-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061631",
            "country_code": "US",
            "telephone_number": "202-430-6249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS MIND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "681-443-5138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindlevate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcus Wellington
• Samuel Wellman
• Wellness Garden, PLLC
• Wellness Health Services, LLC
• Wellness Healthcare Clinics. LLC
• Wellness of DC
• Wellness on Purpose LLC
• Wellness on Purpose LLC
• Wellness Reset Solutions LLC
• Wellness Restoration Counseling PLLC

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.