NPIMap

Organization Active NPI

Mind Over Matter Health Services

  • Community/Behavioral Health Agency
  • Clinton, MD
National Provider Identifier
1447682745
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2133 Issued in MD
Legal business name
MIND OVER MATTER HEALTH SERVICES
Practice address
7700 Old Branch Ave
#B204
Clinton, MD 20735
Phone
(301) 868-0849
Fax
(301) 868-2032
NPI assigned
Aug 8, 2013
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mrs. Asia Maria Johnson, MA, LCPCNPI 1538173588
Title
Owner
Phone
(410) 982-1353

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
Community/Behavioral Health Agency 251S00000X 2133 MD Primary

Addresses

Primary practice location

7700 Old Branch Ave
#B204
Clinton, MD 20735

Mailing address

2001 Fitwarren PL.
T1
Balto., MD 21209
Phone (410) 982-1353

Other identifiers 1

IdentifierTypeStateIssuer
401138400MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Mind Over Matter Health Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the 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": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1447682745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 FITWARREN PL.",
            "address_2": "T1",
            "city": "BALTO.",
            "state": "MD",
            "postal_code": "21209",
            "telephone_number": "410-982-1353",
            "fax_number": "443-766-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE",
            "address_2": "#B204",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20735",
            "telephone_number": "301-868-0849",
            "fax_number": "301-868-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MATTER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-982-1353",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401138400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.