BODY MIND & SOUL FAMILY SERVICES, LLC
NPI 1508428541
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD
About Body Mind & Soul Family Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODY MIND & SOUL FAMILY SERVICES, LLC (NPI 1508428541) is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since June 2019. The organization lists Bobbi Howard, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Body Mind & Soul Family Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Body Mind & Soul Family Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Glen Burnie, MD 21061
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 Body Mind & Soul Family Services, LLC's NPI number?
The NPI number for Body Mind & Soul Family Services, LLC is 1508428541. It was assigned to this organization in the NPPES registry on June 30, 2019.
Where is Body Mind & Soul Family Services, LLC located?
Body Mind & Soul Family Services, LLC is located at 1401 Madison Park Dr Ste 201, Glen Burnie, MD 21061. The listed phone number is (240) 620-6883.
What is Body Mind & Soul Family Services, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Body Mind & Soul Family Services, LLC enrolled in Medicare?
Yes. Body Mind & Soul Family Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Body Mind & Soul Family Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Body Mind & Soul Family Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Body Mind & Soul Family Services, LLC was last updated on October 8, 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.
# Body Mind & Soul Family Services, Llc · NPI 1508428541
Psychiatric/Mental Health organization in Glen Burnie, Maryland. Organization record, active in the CMS NPPES registry since June 30, 2019.
## Identity
- **NPI:** 1508428541 (Entity type: Organization)
- **Enumerated:** June 30, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Bobbi Howard, DIRECTOR
## Practice location
- **Address:** 1401 MADISON PARK DR STE 201, Glen Burnie, MD 21061-5881
- **Phone:** (240) 620-6883
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2024
- **Other identifiers:** Medicaid 110595700 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1508428541) · Data from the CMS NPPES public registry.