Healing Circle Mental Health Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13080 Issued in MD

Legal business name

HEALING CIRCLE MENTAL HEALTH INC.

Practice address

1304 Duchess LN
Huntingtown, MD 20639-2336

Phone

(443) 624-9416

NPI assigned

Oct 10, 2007

Last updated

Oct 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauresta Lynne Krause, LCSW-CNPI 1700859626

Title

President

Phone

(443) 624-9416

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lauresta Lynne Krause, LCSW-C

  • Mental Health Counselor
  • Huntingtown, MD
  • NPI 1700859626
  Authorized official Same address or phone

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1518155027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 DUCHESS LN",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206392336",
            "telephone_number": "443-624-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 DUCHESS LN",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206392336",
            "telephone_number": "443-624-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING CIRCLE MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "LAURESTA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-624-9416",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW-C",
            "identifier": "13080",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantal Nyefen Fokum, CRNP
• Nicole Charlene Frey, LGPC
• Jennifer J Gosnell, A0166 MD
• Jessica M Hall, OD
• Roula Amal Hawit, MD
• Huntingtown Dental and Sleep Solutions, LLC (Huntingtown Dental)
• Huntingtown Vision Center, LLC
• Huntingtown Volunteer Fire Department Rescue Squad
• Jessica M Jacobs, LCSW-C
• Robert E Jones Jr., LCSW

• Clinical Social Worker in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.