NPIMap

Organization Active NPI

Mindful Healing Works Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dundalk, MD
National Provider Identifier
1962040626
Registry record updated Mar 31, 2023
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
MINDFUL HEALING WORKS WELLNESS CENTER
Practice address
1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114
Phone
(443) 530-6533
NPI assigned
Dec 12, 2019
Organization subpart
Yes
Parent organization
MINDFUL HEALING WORKS WELLNESS CENTER OMHCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Jill Marie Grier
Title
Credential Contact
Phone
(757) 631-2723

Specialties & licenses 1

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

Addresses

Primary practice location

1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114

Mailing address

750 Concourse Cir Ste 103-203
Middle River, MD 21220-2995
Phone (443) 530-6921

Other practice location 1

7811 Wise Ave
Dundalk, MD 21222-3339
Phone (443) 530-6533

Other identifiers 1

IdentifierTypeStateIssuer
985059MedicaidMD

Other names 1

  • OMHC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL erin@mindfulhealingworks.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230806000023 MD Part B Supplier - Clinic/Group Practice 3375904451 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Dundalk, MD; Rosedale, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mindful Healing Works Wellness Center Iop8 organizations share this tax ID, including this one
Part of
Mindful Healing Works Wellness Center Iop

Other organizations with this tax ID 7

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

Locations

7811 Wise Ave
Dundalk, MD 21222
Phone (410) 282-5454

1576 Merritt Blvd
Ste 8
Dundalk, MD 21222
Phone (410) 717-7375

Practitioners & affiliated clinicians

Practitioners 6

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": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1962040626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CONCOURSE CIR STE 103-203",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202995",
            "telephone_number": "443-530-6921",
            "fax_number": "443-530-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7811 Wise Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212223339",
            "country_code": "US",
            "telephone_number": "443-530-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL HEALING WORKS WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL HEALING WORKS WELLNESS CENTER OMHC",
        "enumeration_date": "2019-12-12",
        "last_updated": "2023-03-31",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIAL CONTACT",
        "authorized_official_telephone_number": "757-631-2723"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "985059",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "erin@mindfulhealingworks.com",
            "affiliation": "N",
            "endpointDescription": "erin@mindfulhealingworks.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7811 Wise Ave",
            "city": "Dundalk",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212223339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.