The Mind Garden, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE MIND GARDEN, LLC

Practice address

714 Pine St # 1044
Herndon, VA 20170-4660

Phone

(240) 343-5557

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer ParkerNPI 1356167712

Title

Owner, Resident in Counseling

Phone

(240) 343-5557

Specialties & licenses 1

Addresses

Other names 1

• The Mind Garden Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Marie Parker, M.S., RIC

  • Mental Health Counselor
  • Bunker Hill, WV
  • NPI 1356167712
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1548043052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "BUNKER HILL",
            "state": "WV",
            "postal_code": "254130365",
            "telephone_number": "240-343-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 PINE ST # 1044",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704660",
            "telephone_number": "240-343-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER, RESIDENT IN COUNSELING",
        "authorized_official_telephone_number": "240-343-5557"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mind Garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Herndon, VA
• Providers in Herndon, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.