Active NPI
Mindflower Limited Liability Company
- Professional Counselor
- Washington, DC
National Provider Identifier
1801460977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040868299 | Medicaid | DC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1538369830
-
- Clinical Social Worker
- Washington, DC
- NPI 1740848795
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.