Mettled Minds LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

METTLED MINDS LLC

Practice address

12401 James Madison LN
Glenn Dale, MD 20769-9168

Phone

(240) 853-1243

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

Myia BeltonNPI 1437850443

Title

Owner

Phone

(240) 853-1243

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Myia A Belton, LCSW-C, LICSW

  • Clinical Social Worker
  • Glenn Dale, MD
  • NPI 1437850443

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1609616622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 JAMES MADISON LN",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699168",
            "telephone_number": "240-853-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 JAMES MADISON LN",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699168",
            "telephone_number": "240-853-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTLED MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "MYIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-853-1243"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.