Organization Active NPI

Her Mind Her Body, LLC

  • Mental Health Counselor
  • Owings Mills, MD
National Provider Identifier
1376299149
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HER MIND HER BODY, LLC
Practice address
10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138
Phone
(202) 250-4393
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Lachrisia Lorraine Matthews, LCPCNPI 1578819785
Title
Therapist
Phone
(202) 250-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138

Mailing address

10711 Red Run Blvd Ste 112
Owings Mills, MD 21117-5138
Phone (202) 250-4393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1376299149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "202-250-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 RED RUN BLVD STE 112",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175138",
            "telephone_number": "202-250-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER MIND HER BODY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LACHRISIA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "202-250-4393",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.