Organization Active NPI

Soul Healing Spaces, LLC

  • Mental Health Counselor
  • Silver Spring, MD
National Provider Identifier
1952013732
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUL HEALING SPACES, LLC
Practice address
708 Kenbrook Dr
Silver Spring, MD 20902-3225
Phone
(240) 906-1418
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Jenna Sadan, LPCNPI 1831612050
Title
Co-Owner
Phone
(240) 906-1418

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

708 Kenbrook Dr
Silver Spring, MD 20902-3225

Mailing address

708 Kenbrook Dr
Silver Spring, MD 20902-3225
Phone (240) 906-1418

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL soulhealingspaces@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1952013732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 KENBROOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023225",
            "telephone_number": "240-906-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 KENBROOK DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023225",
            "telephone_number": "240-906-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HEALING SPACES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "SADAN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "240-906-1418",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "soulhealingspaces@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "708 Kenbrook Dr",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209023225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.