Organization Active NPI

Mindful Healing Space, LLC

  • Community/Behavioral Health Agency
  • Lutherville, MD
National Provider Identifier
1821572637
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL HEALING SPACE, LLC
Practice address
2324 W Joppa Rd Ste 130
Lutherville, MD 21093-4615
Phone
(240) 994-1817
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Anne D Scheffer, LCPC
Title
Therapist/Owner
Phone
(240) 994-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2324 W Joppa Rd Ste 130
Lutherville, MD 21093-4615

Mailing address

5051 Southern Star Ter
Columbia, MD 21044-1292
Phone (240) 994-1817

Other identifiers 1

IdentifierTypeStateIssuer
1932539111OtherNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1821572637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 SOUTHERN STAR TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210441292",
            "telephone_number": "240-994-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W JOPPA RD STE 130",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934615",
            "telephone_number": "240-994-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "SCHEFFER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "240-994-1817",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932539111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.