Individual provider Active NPI

Nasim Ameri Cianaki

  • Mental Health Counselor
  • Gaithersburg, MD
National Provider Identifier
1487317889
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC15449 Issued in MD
Practice address
63 Pontiac Way
Gaithersburg, MD 20878-2792
Phone
(301) 275-5905
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC15449 MD Primary

Addresses

Primary practice location

63 Pontiac Way
Gaithersburg, MD 20878-2792

Mailing address

14078 Berryville Rd
Germantown, MD 20874-3520
Phone (301) 275-5905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC15449MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Mind and Wellness Center LLC PastSince Dec 7, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1487317889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14078 BERRYVILLE RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208743520",
            "telephone_number": "301-275-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PONTIAC WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782792",
            "telephone_number": "301-275-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERI CIANAKI",
        "first_name": "NASIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC15449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.