Organization Active NPI

S and E Mind Reset Center LLC

  • Adult Mental Health Clinic/Center
  • Brandywine, MD
National Provider Identifier
1689441784
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
S AND E MIND RESET CENTER LLC
Practice address
14703 Ring House Rd
Brandywine, MD 20613-2042
Phone
(301) 586-7211
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Akame EkweNPI 1235482548
Title
Owner
Phone
(301) 586-7211

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

14703 Ring House Rd
Brandywine, MD 20613-2042

Mailing address

14703 Ring House Rd
Brandywine, MD 20613-2042
Phone (301) 586-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430003113 DC Part B Supplier - Clinic/Group Practice 8426574617 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

1818 New York Ave NE
Ste 206
Washington, DC 20002
Phone (301) 586-7211

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1689441784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14703 RING HOUSE RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206132042",
            "telephone_number": "301-586-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14703 RING HOUSE RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206132042",
            "telephone_number": "301-586-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S AND E MIND RESET CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "EKWE",
        "authorized_official_first_name": "AKAME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-586-7211"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.