NPIMap

Organization Active NPI

Mindful Excellence

  • Adult Mental Health Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1992459523
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MINDFUL EXCELLENCE
Practice address
1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740-6832
Phone
(240) 818-3044
NPI assigned
Feb 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Al Balaa, LCPCNPI 1902446651
Title
Ceo-Owner
Phone
(240) 818-3044

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740-6832

Mailing address

1185 Mount Aetna Rd Ste 102
Hagerstown, MD 21740-6832
Phone (240) 818-3044

National Provider Directory

National Provider Directory

Locations

1185 Mount Aetna Rd
Ste 102
Hagerstown, MD 21740
Phone (240) 495-9384

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": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1992459523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MOUNT AETNA RD STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406832",
            "telephone_number": "240-818-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MOUNT AETNA RD STE 102",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406832",
            "telephone_number": "240-818-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "BALAA",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "240-818-3044",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.