Healthy Minds LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEALTHY MINDS LLC

Practice address

100 West Rd Ste 300
Towson, MD 21204-2370

Phone

(240) 468-8476

NPI assigned

Jul 24, 2020

Organization subpart

No

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

Authorized official

Name

Jacobs Jacquette

Title

Mental Health Therapist

Phone

(240) 468-8476

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Healthy Minds LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Healthy Minds LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1164058970
  NPD tax ID
• Healthy Minds LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rosedale, MD
  • NPI 1437885795
  NPD tax ID
• Healthy Minds LLC

  • Substance Abuse Rehabilitation Facility
  • Rosedale, MD
  • NPI 1578246138
  NPD tax ID

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1861001992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 DAYBROOK CIR APT 348",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212375043",
            "telephone_number": "240-468-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST RD STE 300",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042370",
            "telephone_number": "240-468-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "JACQUETTE",
        "authorized_official_first_name": "JACOBS",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "240-468-8476"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjacobs@hmllc.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "100 West Rd Ste 300",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212042370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Towson, MD
• Providers in Towson, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.