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EMPOWERING MIND RESOURCE CENTER
NPI 1417591405
Clinic/Center - Mental Health (Including Community Mental Health Center) in Edgewood, MD

Active since November 01, 2019
1833 PULASKI HWY STE A, EDGEWOOD, MD 21040(443) 484-2306(443) 484-2970 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Empowering Mind Resource Center NPPES

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

EMPOWERING MIND RESOURCE CENTER (NPI 1417591405) is a healthcare organization registered as a mental health (including community mental health center) in Edgewood, Maryland and active in the NPI registry since November 2019. The organization lists Tiffinie Carroll, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417591405
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEMPOWERING MIND RESOURCE CENTER
Location Address1833 PULASKI HWY STE AEdgewood, MD 21040-1654
Mailing Address500 Redland Ct Ste 213Owings Mills, MD 21117-3266 · (410) 363-3713
Phone(443) 484-2306
Fax(443) 484-2970
Organization SubpartNo
Authorized OfficialTiffinie CarrollExecutive Director · (410) 363-3713
Enumeration DateNovember 1, 2019
✔ NPI 1417591405 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
1833 PULASKI HWY STE A, Edgewood, MD 21040
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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)

Empowering Mind Resource Center 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 Empowering Mind Resource Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Stephanike Moore, LCSW-C
Clinical Social Worker
NPI 1629679352
3771 RAVENWOOD AVE
Baltimore, MD 21213
(443) 801-7380
✔ PECOS✔ Accepts Medicare16 mi
Bobbie Nnodim
Nurse Practitioner
NPI 1649821166
22 S GREENE ST
Baltimore, MD 21201
(443) 570-4815
✔ PECOS✔ Accepts Medicare19 mi
Sandra Anoruo, PMHNP
Nurse Practitioner
NPI 1306497870
516 N ROLLING RD
Catonsville, MD 21228
(443) 929-5373
✔ PECOS✔ Accepts Medicare26 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 Empowering Mind Resource Center's NPI number?

The NPI number for Empowering Mind Resource Center is 1417591405. It was assigned to this organization in the NPPES registry on November 1, 2019.

Where is Empowering Mind Resource Center located?

Empowering Mind Resource Center is located at 1833 Pulaski Hwy Ste A, Edgewood, MD 21040. The listed phone number is (443) 484-2306.

What is Empowering Mind Resource Center'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 Empowering Mind Resource Center enrolled in Medicare?

Yes. Empowering Mind Resource Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Empowering Mind Resource Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Empowering Mind Resource Center, in Clinical Social Worker and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Empowering Mind Resource Center was last updated on November 1, 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.