M Kim Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

M KIM WELLNESS

Practice address

104 Forbes St Ste 205
Annapolis, MD 21401-1598

Phone

(443) 808-2680

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Min Jee Kim, MS, LGPC

Title

Clinician

Phone

(443) 808-2680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Minjee Kim Helmly, MS, LCPC, NCC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1942827829
  NPD

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599955200000",
    "number": "1467070540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011598",
            "telephone_number": "443-808-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST STE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011598",
            "telephone_number": "443-808-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M KIM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-09-13",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIN JEE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "443-808-2680",
        "authorized_official_credential": "MS, LGPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lyon
• Kristyn L Lyons, CRNP
• Stephanie Elisa Lyons, NP
• M Double U Holdings, LC
• M Justine Clark, DO, LLC
• M Management Group LLC
• M Management Group LLC
• M Management Group LLC
• M Medical Group, Inc.
• M Medical Group, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.