Healthy Minds Resource Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

404629300 Issued in MD

Legal business name

HEALTHY MINDS RESOURCE SERVICES

Practice address

1800 N Charles St
Ste 804
Baltimore, MD 21201-5920

Phone

(410) 363-3713

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Tiffinie Carroll

Title

Executive Director

Phone

(410) 363-3713

Specialties & licenses 3

Addresses

Other identifiers 1

Tax ID family

Healthy Minds Resource Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healthy Minds Resource Services

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1023210655
  NPD tax ID

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1528448404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 REDLAND CT",
            "address_2": "STE 213",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173264",
            "telephone_number": "410-625-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST",
            "address_2": "STE 804",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015920",
            "telephone_number": "410-363-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS RESOURCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TIFFINIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-363-3713"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "ATC110",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "404629300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404629300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Lives, LLC
• Healthy Mind Foundation Africa Limited
• Healthy Mind Foundation Africa Limited
• Healthy Minds Matter, LLC
• Healthy Minds Resource Services
• Healthy Minds Therapeutic Services, LLC
• Healthy Option Clinic
• Healthy Options People Experience Counseling LLC
• Ersilia Marie Healy, CRNP
• Kaitlyn Elizabeth Healy, PHARMD

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.