Organization Active NPI

Health in Mind, LLC

Doing business as Health in Mind

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1710496880
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005893 Issued in VA
Legal business name
HEALTH IN MIND, LLC
Doing business as
Health in Mind
Practice address
13354 Midlothian Tpke Ste 200
Midlothian, VA 23113-4258
Phone
(804) 277-9355
NPI assigned
Sep 21, 2017
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Danielle Johnson, LPCNPI 1669875084
Title
Owner
Phone
(804) 277-9355

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701005893 VA Primary

Addresses

Primary practice location

13354 Midlothian Tpke Ste 200
Midlothian, VA 23113-4258

Mailing address

13354 Midlothian Tpke Ste 200
Midlothian, VA 23113-4258
Phone (804) 277-9355

Other names 1

  • Health in Mind Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241101001681 VA Part B Supplier - Clinic/Group Practice 6608309331 Receives reassigned benefits from 1 practitioner
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

550 Southlake Blvd
North Chesterfield, VA 23236
Phone (804) 379-0400

Practitioners & affiliated clinicians

Practitioners 7

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": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1710496880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13354 MIDLOTHIAN TPKE STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134258",
            "telephone_number": "804-277-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13354 MIDLOTHIAN TPKE STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134258",
            "telephone_number": "804-277-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IN MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-277-9355",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health in Mind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.