NPIMap

Organization Active NPI

Imperial Mentoring, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • White Plains, MD
National Provider Identifier
1407594344
Registry record updated Jun 8, 2022
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
IMPERIAL MENTORING, LLC
Practice address
4180 Windsor Heights PL
White Plains, MD 20695-3465
Phone
(410) 702-8864
NPI assigned
May 20, 2022
Organization subpart
Yes
Parent organization
IMPERIAL MENTORING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Jessica Marie WatersNPI 1376893453
Title
Owner
Phone
(410) 702-8864

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

4180 Windsor Heights PL
White Plains, MD 20695-3465

Mailing address

200 Wilson Point Rd Unit 4913
Middle River, MD 21220-7601
Phone (410) 702-8864

Other names 1

  • BeMindFul Counseling Center, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.waters@imperialmentoring.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Imperial Mentoring3 organizations share this tax ID, including this one
Part of
Imperial Mentoring

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1407594344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILSON POINT RD UNIT 4913",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212207601",
            "telephone_number": "410-702-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 WINDSOR HEIGHTS PL",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953465",
            "telephone_number": "410-702-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL MENTORING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMPERIAL MENTORING, LLC",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-702-8864"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.waters@imperialmentoring.com",
            "affiliation": "N",
            "endpointDescription": "personal secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Wilson Point Rd Unit 4913",
            "city": "Middle River",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212207601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BeMindFul Counseling Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.