NPIMap

Organization Active NPI

I Am a Mind Healer Wellness Center, LLC

  • Professional Counselor
  • Stafford, VA
National Provider Identifier
1972268043
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
I AM A MIND HEALER WELLNESS CENTER, LLC
Practice address
1 Democracy Cir Apt 204
Stafford, VA 22554-8147
Phone
(540) 300-5289
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Ms. Pamela Brown, LPCNPI 1558835686
Title
Licensed Professional Counselor
Phone
(703) 867-2565

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1 Democracy Cir Apt 204
Stafford, VA 22554-8147

Mailing address

2769 Jefferson Davis Hwy Ste 111-1098
Stafford, VA 22554-8325
Phone (540) 300-5289

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1972268043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 JEFFERSON DAVIS HWY STE 111-1098",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548325",
            "telephone_number": "540-300-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEMOCRACY CIR APT 204",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548147",
            "telephone_number": "540-300-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM A MIND HEALER WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "703-867-2565",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.