Organization Active NPI

Mosaic Counseling & Wellness

  • Professional Counselor
  • Salisbury, MD
National Provider Identifier
1487219994
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MOSAIC COUNSELING & WELLNESS
Practice address
207 W Main St Ste 2
Salisbury, MD 21801-4989
Phone
(410) 430-8240
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Authorized official

Name
Stephanie BlevinsNPI 1710434162
Title
Owner
Phone
(410) 430-8240

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

207 W Main St Ste 2
Salisbury, MD 21801-4989

Mailing address

207 W Main St Ste 2
Salisbury, MD 21801-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250709001339 MD Part B Supplier - Clinic/Group Practice 9537673827 Receives reassigned benefits from 4 practitioners
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

2333 N Zion Rd
#B
Salisbury, MD 21801
Phone (443) 358-5809

207 W Main St
Ste 2
Salisbury, MD 21801
Phone (410) 430-8240

207 W Main St
Salisbury, MD 21801

Practitioners & affiliated clinicians

Practitioners 7

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": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1487219994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST STE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MAIN ST STE 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014989",
            "telephone_number": "410-430-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-430-8240"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.