Organization Active NPI

A Beautiful Mind: Counseling & Wellness Studio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1821673385
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
A BEAUTIFUL MIND: COUNSELING & WELLNESS STUDIO
Practice address
326 Saint Paul St Ste 400a
Baltimore, MD 21202-2176
Phone
(443) 762-7537
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Ms. Erica Danyelle Kelly, LCSW-CNPI 1609330489
Title
Ceo
Phone
(443) 762-7537

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

326 Saint Paul St Ste 400a
Baltimore, MD 21202-2176

Mailing address

1190 W Northern Pkwy Apt 404
Roland Park, MD 21210-1453
Phone (443) 762-7537

National Provider Directory

National Provider Directory

Locations

326 Saint Paul St
Ste 400A
Baltimore, MD 21202
Phone (443) 762-7537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1821673385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W NORTHERN PKWY APT 404",
            "city": "ROLAND PARK",
            "state": "MD",
            "postal_code": "212101453",
            "telephone_number": "443-762-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SAINT PAUL ST STE 400A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022176",
            "telephone_number": "443-762-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTIFUL MIND: COUNSELING & WELLNESS STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "DANYELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-762-7537",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.