NPIMap

Organization Active NPI

Mindful Healing Works Wellness Center

Doing business as Mindful Healing Works Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rosedale, MD
National Provider Identifier
1962182337
Registry record updated Jul 27, 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
Doing business as
Mindful Healing Works Wellness Center LLC
Practice address
9106 Philadelphia Rd Ste 208
Rosedale, MD 21237-4333
Phone
(443) 530-6921
NPI assigned
Jul 20, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MINDFUL HEALING WORKS WELLNESS CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Erin Meyer, LCPCNPI 1861941239
Title
Owner
Phone
(443) 504-5316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9106 Philadelphia Rd Ste 208
Rosedale, MD 21237-4333

Mailing address

750 Concourse Cir Ste 103-203
Middle River, MD 21220-2995

Other names 1

  • Mindful Healing Works Wellness Center LLC Doing business as

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
This NPI is an additional NPI on the 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 Sop8 organizations share this tax ID, including this one
Part of
Mindful Healing Works Wellness Center Sop

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the 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, 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": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1962182337",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD STE 208",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374333",
            "telephone_number": "443-530-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING WORKS WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL HEALING WORKS WELLNESS CENTER LLC",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-504-5316",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Healing Works Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Healing Works Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.