Organization Active NPI

Mind Health, LLC

  • Social Worker
  • Annandale, VA
National Provider Identifier
1740861376
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MIND HEALTH, LLC
Practice address
5015 Columbia Rd
Annandale, VA 22003
Phone
(585) 371-8448
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Elizabeth Louer-Thompson, LCSW
Title
Partner
Phone
(773) 517-5840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

5015 Columbia Rd
Annandale, VA 22003

Mailing address

5015 Columbia Rd
Annandale, VA 22003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1740861376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 COLUMBIA RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 COLUMBIA RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "585-371-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "LOUER-THOMPSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-517-5840",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.