NPIMap

Organization Active NPI

Mindfully Rooted Collaborative Therapy, LLC

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1780514901
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFULLY ROOTED COLLABORATIVE THERAPY, LLC
Practice address
10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439
Phone
(857) 312-3687
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Tacia Colon-Johnson, LCSW-CNPI 1306592431
Title
Clinical Social Worker/Owner
Phone
(301) 338-8634

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10770 Columbia Pike Ste 300
Silver Spring, MD 20901-4439

Mailing address

10770 Columbia Pike Ste 300
Ste. 300
Silver Spring, MD 20901-4439
Phone (301) 338-8634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1780514901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300",
            "address_2": "STE. 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014439",
            "telephone_number": "301-338-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014439",
            "telephone_number": "857-312-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY ROOTED COLLABORATIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "COLON-JOHNSON",
        "authorized_official_first_name": "TACIA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "301-338-8634",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.