NPIMap

Organization Active NPI

Mindfulway Counseling Inc.

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1487288551
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFULWAY COUNSELING INC.
Practice address
600 Wyndhurst Ave Ste 308
Baltimore, MD 21210-2415
Phone
(443) 310-8214
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Ms. Denise Ann Supik, MS, LCPCNPI 1972929099
Title
President
Phone
(443) 310-8214

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 Wyndhurst Ave Ste 308
Baltimore, MD 21210-2415

Mailing address

1321 Weldon Ave
Baltimore, MD 21211-1534
Phone (443) 310-8214

National Provider Directory

National Provider Directory

Locations

600 Wyndhurst Ave
Ste 308
Baltimore, MD 21210
Phone (443) 310-8214

Practitioners & affiliated clinicians

Practitioners 1

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": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1487288551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WELDON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111534",
            "telephone_number": "443-310-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WYNDHURST AVE STE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102415",
            "telephone_number": "443-310-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULWAY COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SUPIK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-310-8214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.