Active NPI
Mind Health, LLC
- Social Worker
- Annandale, VA
National Provider Identifier
1740861376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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 DirectoryNPI 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.