Organization Active NPI

Mindflower Limited Liability Company

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1801460977
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFLOWER LIMITED LIABILITY COMPANY
Practice address
1717 N St NW
Washington, DC 20036-2827
Phone
(202) 499-6228
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Sur Elias
Title
Admin
Phone
(202) 499-6228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1717 N St NW
Washington, DC 20036-2827

Mailing address

2020 Pennsylvania Ave NW # 131
Washington, DC 20006-1811
Phone (202) 499-6228

Other practice location 1

2 Wisconsin Cir
Chevy Chase, MD 20815-7003
Phone (202) 949-6649

Other practice location 2

1328 Southern Ave SE Ste 311
Washington, DC 20032-4689
Phone (202) 949-6649

Other identifiers 1

IdentifierTypeStateIssuer
040868299MedicaidDC

National Provider Directory

National Provider Directory

Locations

1328 Southern Ave SE
Ste 311
Washington, DC 20032
Phone (202) 818-8697

1717 N St NW
Washington, DC 20036
Phone (202) 499-6228

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1801460977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PENNSYLVANIA AVE NW # 131",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061811",
            "telephone_number": "202-499-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362827",
            "telephone_number": "202-499-6228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Wisconsin Cir",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208157003",
            "country_code": "US",
            "telephone_number": "202-949-6649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1328 Southern Ave SE Ste 311",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324689",
            "country_code": "US",
            "telephone_number": "202-949-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFLOWER LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "SUR",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "202-499-6228"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040868299",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.