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MIND & SOUL TELEWELLNESS LLC
NPI 1205495496
Counselor - Mental Health in Towson, MD

Active since June 11, 2019
320 E TOWSONTOWN BLVD STE 201, TOWSON, MD 21286(443) 953-8922(855) 955-1334 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Dec 11, 2020, Oct 30, 2019 and 1 more (4 updates tracked since 2019).

About Mind & Soul Telewellness Llc NPPES

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

MIND & SOUL TELEWELLNESS LLC (NPI 1205495496) is a healthcare organization registered as a mental health in Towson, Maryland and active in the NPI registry since June 2019. The organization lists Toni Ray, Director, as its authorized official.

NPPES Registry Identity

NPI1205495496
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND & SOUL TELEWELLNESS LLC
Location Address320 E TOWSONTOWN BLVD STE 201Towson, MD 21286-5331
Mailing Address320 E Towsontown Blvd Ste 201Towson, MD 21286-5331 · (443) 953-8922 · Fax (855) 955-1334
Phone(443) 953-8922
Fax(855) 955-1334
Organization SubpartNo
Authorized OfficialToni RayDirector · (443) 953-8922
Enumeration DateJune 11, 2019
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1205495496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
320 E TOWSONTOWN BLVD STE 201, Towson, MD 21286
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind & Soul Telewellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mind & Soul Telewellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Shawn Dwight, PMHNP B-C
Nurse Practitioner
NPI 1144101395
200 WASHINGTON AVE FL 5
Towson, MD 21204
(443) 452-8469
✔ PECOS0.4 mi
Lacresha Reid White, LCSW-C
Clinical Social Worker
NPI 1821446956
1829 REISTERSTOWN RD STE 350
Pikesville, MD 21208
(443) 602-1012
✔ PECOS✔ Accepts Medicare7.5 mi
Tiera Jones, LCSW-C
Clinical Social Worker
NPI 1679928204
9201 PHILADELPHIA RD
Baltimore, MD 21237
(410) 453-9553
✔ PECOS7.7 mi
Gretchen Ryle
Nurse Practitioner
NPI 1972048593
1406 CRAIN HWY S STE 104
Glen Burnie, MD 21061
(410) 766-6625
✔ PECOS✔ Accepts Medicare17 mi
Denisha Cuffee, DNP
Nurse Practitioner
NPI 1932754264
10440 LITTLE PATUXENT PKWY STE 300
Columbia, MD 21044
(240) 744-0540
✔ PECOS✔ Accepts Medicare19 mi
Glory Forbi, APRN
Nurse Practitioner
NPI 1790310506
9712 BALD HILL RD
Bowie, MD 20721
(240) 273-2054
✔ PECOS✔ Accepts Medicare34 mi
Nakeia Newton
Nurse Practitioner
NPI 1992317846
8403 COLESVILLE RD STE 1100
Silver Spring, MD 20910
(301) 235-2759
✔ PECOS36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mind & Soul Telewellness LLC's NPI number?

The NPI number for Mind & Soul Telewellness LLC is 1205495496. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Mind & Soul Telewellness LLC located?

Mind & Soul Telewellness LLC is located at 320 E Towsontown Blvd Ste 201, Towson, MD 21286. The listed phone number is (443) 953-8922.

What is Mind & Soul Telewellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mind & Soul Telewellness LLC enrolled in Medicare?

Yes. Mind & Soul Telewellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind & Soul Telewellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Mind & Soul Telewellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Clinical Social Worker (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mind & Soul Telewellness LLC was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.