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MINDBODYPINNACLE HEALTH LLC
NPI 1275263816
Clinic/Center - Mental Health (Including Community Mental Health Center) in Laurel, MD

Active since June 15, 2022CLIA 21D2317295 · Waiver
9811 MALLARD DR STE 210, LAUREL, MD 20708(443) 713-8643 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2025, Feb 3, 2023, Sep 22, 2022 (3 updates tracked since 2022).

About Mindbodypinnacle Health Llc NPPES

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

MINDBODYPINNACLE HEALTH LLC (NPI 1275263816) is a healthcare organization registered as a mental health (including community mental health center) in Laurel, Maryland and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through January 21, 2027 and lists Taiwo Ajani, Crnp, as its authorized official.

NPPES Registry Identity

NPI1275263816
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDBODYPINNACLE HEALTH LLC
Location Address9811 MALLARD DR STE 210Laurel, MD 20708-3199
Mailing Address9811 Mallard Dr Ste 210Laurel, MD 20708-3199 · (443) 713-8643
Phone(443) 713-8643
Organization SubpartNo
Authorized OfficialTaiwo AjaniCrnp · (301) 237-2563
Enumeration DateJune 15, 2022
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1275263816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
9811 MALLARD DR STE 210, Laurel, MD 20708
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindbodypinnacle Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mindbodypinnacle Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Taiwo Ajani, DNP, CRNP, PMHNP-BC
Nurse Practitioner
NPI 1982170213
9811 MALLARD DR STE 120
Laurel, MD 20708
(443) 713-8643
✔ PECOS✔ Accepts MedicareSame address
Noella Masalla
Nurse Practitioner
NPI 1306107867
9811 MALLARD DR STE 210
Laurel, MD 20708
(443) 713-8643
✔ PECOSSame address
Marilyn Murray, NP
Nurse Practitioner
NPI 1265287171
6507 TASSIA DR
Alexandria, VA 22315
(202) 412-3235
✔ PECOS✔ Accepts Medicare28 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2317295

Mindbodypinnacle Health LLC · Laurel, MD
Active · expires Jan 21, 2027
CLIA Number21D2317295
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorTaiwo Ajani
Laboratory Phone(443) 713-8643
Laboratory LocationMindbodypinnacle Health LLC9811 Mallard Drive Suite 210, Laurel, MD 20708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mindbodypinnacle Health LLC's NPI number?

The NPI number for Mindbodypinnacle Health LLC is 1275263816. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Mindbodypinnacle Health LLC located?

Mindbodypinnacle Health LLC is located at 9811 Mallard Dr Ste 210, Laurel, MD 20708. The listed phone number is (443) 713-8643.

What is Mindbodypinnacle Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mindbodypinnacle Health LLC enrolled in Medicare?

Yes. Mindbodypinnacle Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindbodypinnacle Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindbodypinnacle Health 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mindbodypinnacle Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2317295) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mindbodypinnacle Health LLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.