Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC
NPI 1609781640
Nurse Practitioner - Psychiatric/Mental Health in Montgomery Village, MD

Q: What is Supportive Minds Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since August 15, 2026

19650 CLUB HOUSE RD STE 202A, MONTGOMERY VILLAGE, MD 20886(202) 740-4111 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, Aug 15, 2026 (2 updates tracked since 2026).

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About Supportive Minds Mental Health Services, Llc NPPES

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

SUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC (NPI 1609781640) is a healthcare organization registered as a psychiatric/mental health in Montgomery Village, Maryland and active in the NPI registry since August 2026. The organization lists Hurlere Virgine Ndjoussi, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1609781640

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSUPPORTIVE MINDS MENTAL HEALTH SERVICES, LLC

Location Address19650 CLUB HOUSE RD STE 202AMontgomery Village, MD 20886-3003

Mailing Address11273 Suffolk DrHagerstown, MD 21742-4054 · (240) 437-2133 · Fax (301) 307-1598

Phone(202) 740-4111

Organization SubpartNo

Authorized OfficialHurlere Virgine NdjoussiPmhnp · (240) 437-2133

Enumeration DateAugust 15, 2026

Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration

NPPES CertifiedOctober 23, 2026

✔ NPI 1609781640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

19650 CLUB HOUSE RD STE 202A, Montgomery Village, MD 20886

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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 Supportive Minds Mental Health Services, LLC's NPI number?

The NPI number for Supportive Minds Mental Health Services, LLC is 1609781640. It was assigned to this organization in the NPPES registry on August 15, 2026.

Where is Supportive Minds Mental Health Services, LLC located?

Supportive Minds Mental Health Services, LLC is located at 19650 Club House Rd Ste 202A, Montgomery Village, MD 20886. The listed phone number is (202) 740-4111.

What is Supportive Minds Mental Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Supportive Minds Mental Health Services, LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.