MENDING MINDS WELLNESS CENTER
NPI 1114584091
Social Worker - Clinical in Largo, MD

Active since May 25, 2019
1401 MERCANTILE LANE, SUITE 485, LARGO, MD 20774(301) 615-1911 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2019, May 25, 2019 (2 updates tracked since 2019).

About Mending Minds Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDING MINDS WELLNESS CENTER (NPI 1114584091) is a healthcare organization registered as a clinical in Largo, Maryland and active in the NPI registry since May 2019. The organization lists Jene Colette Gould, Psyhotherapist, as its authorized official.

NPPES Registry Identity

NPI1114584091
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMENDING MINDS WELLNESS CENTER
Location Address1401 MERCANTILE LANE, SUITE 485Largo, MD 20774-2005
Mailing Address12138 Central Ave Ste 937Mitchellville, MD 20721-1910 · (240) 484-7112
Organization SubpartNo
Authorized OfficialJene Colette GouldPsyhotherapist · (301) 615-1911
Enumeration DateMay 25, 2019
Last NPPES UpdateAugust 20, 20192 updates tracked since enumeration
NPI 1114584091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1401 MERCANTILE LANE, Largo, MD 20774

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
1401 MERCANTILE LANE, SUITE # 200 AA
LARGO, MD 20774
Physical Therapist
1401 MERCANTILE LANE, SUITE 107
UPPER MARLBORO, MD 20774
In Home Supportive Care
1401 MERCANTILE LANE, SUITE 200 AA
LARGO, MD 20774

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mending Minds Wellness Center's NPI number?

The NPI number for Mending Minds Wellness Center is 1114584091. It was assigned to this organization in the NPPES registry on May 25, 2019.

Where is Mending Minds Wellness Center located?

Mending Minds Wellness Center is located at 1401 Mercantile Lane Suite 485, Largo, MD 20774. The listed phone number is (301) 615-1911.

What is Mending Minds Wellness Center's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mending Minds Wellness Center was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.