Supportive Minds Mental Health Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC

Practice address

19650 Club House Rd Ste 202a
Montgomery Village, MD 20886-3003

Phone

(202) 740-4111

NPI assigned

Aug 15, 2026

Last updated

Oct 23, 2026By 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

Hurlere Virgine Ndjoussi, PMHNPNPI 1255204459

Title

Pmhnp

Phone

(240) 437-2133

Specialties & licenses 2

Addresses

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.

• Hurlere Virgine Ndjoussi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
  • NPI 1255204459

  Psychiatry

  NPD (past) Authorized official

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1609781640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11273 SUFFOLK DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424054",
            "telephone_number": "240-437-2133",
            "fax_number": "301-307-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19650 CLUB HOUSE RD STE 202A",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208863003",
            "telephone_number": "202-740-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "NDJOUSSI",
        "authorized_official_first_name": "HURLERE",
        "authorized_official_middle_name": "VIRGINE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "240-437-2133",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.