NPIMap

Organization Active NPI

Soul Soil Healing LLC

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
National Provider Identifier
1356056782
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOUL SOIL HEALING LLC
Practice address
3600 Clipper Mill Rd Ste 221
Baltimore, MD 21211-1946
Phone
(442) 320-2313
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Dr. Kristopher T Gebhard, PHDNPI 1588315964
Title
Founder/Ceo
Phone
(218) 280-2750

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3600 Clipper Mill Rd Ste 221
Baltimore, MD 21211-1946

Mailing address

3600 Clipper Mill Rd Ste 221
Baltimore, MD 21211-1946
Phone (442) 320-2313

National Provider Directory

National Provider Directory

Locations

3600 Clipper Mill Rd
Ste 221
Baltimore, MD 21211
Phone (410) 835-4696

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1356056782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111946",
            "telephone_number": "442-320-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111946",
            "telephone_number": "442-320-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SOIL HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GEBHARD",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "218-280-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.