Organization Active NPI

Mind Kind LLC

  • Case Management Agency
  • Clinton, MD
National Provider Identifier
1609737345
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MIND KIND LLC
Practice address
9121 Piscataway Rd Ste 1B
Clinton, MD 20735-2561
Phone
(301) 310-5506
NPI assigned
Nov 21, 2025
Organization subpart
Yes
Parent organization
MIND KIND LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Mikala MartinNPI 1104527548
Title
Executive Director
Phone
(202) 277-6297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

9121 Piscataway Rd Ste 1B
Clinton, MD 20735-2561

Mailing address

11555 Cosca Park PL
Clinton, MD 20735-4184
Phone (202) 277-6297

National Provider Directory

National Provider Directory
Tax ID family
Mind Kind LLC2 organizations share this tax ID, including this one
Part of
Mind Kind LLC

Other organizations with this tax ID 1

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

Locations

9121 Piscataway Rd
Ste 1B
Clinton, MD 20735
Phone (301) 310-5506

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1609737345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 COSCA PARK PL",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354184",
            "telephone_number": "202-277-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 PISCATAWAY RD STE 1B",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352561",
            "telephone_number": "301-310-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND KIND LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND KIND LLC",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MIKALA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-277-6297"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.