INNERMIND SOLUTIONS LLC
NPI 1639799141
Nurse Practitioner - Psychiatric/Mental Health in Laurel, MD

Active since April 24, 2020
11715 BASSWOOD DR, LAUREL, MD 20708(959) 277-0432(860) 374-4063 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2026, Apr 6, 2026, Mar 19, 2026 and 3 more (6 updates tracked since 2020).

About Innermind Solutions Llc NPPES

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

INNERMIND SOLUTIONS LLC (NPI 1639799141) is a healthcare organization registered as a psychiatric/mental health in Laurel, Maryland and active in the NPI registry since April 2020. The organization maintains 2 additional practice locations and lists Ayodeji Bamidele Olawale, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639799141
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINNERMIND SOLUTIONS LLC
Location Address11715 BASSWOOD DRLaurel, MD 20708-3167
Mailing Address11715 Basswood DrLaurel, MD 20708-3167 · (959) 277-0432 · Fax (860) 374-4063
Fax(860) 374-4063
Organization SubpartNo
Authorized OfficialAyodeji Bamidele OlawaleCeo · (301) 905-2947
Enumeration DateApril 24, 2020
Last NPPES UpdateApril 16, 20266 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1639799141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11715 BASSWOOD DR, Laurel, MD 20708

Secondary Practice Locations 2

Location 13028 Greenmount AveBaltimore, MD 21218-3938 · Phone (866) 359-4690 · Fax (959) 216-2101
Location 2750 Main St Ste 412Hartford, CT 06103-2703 · Phone (959) 277-0432 · Fax (860) 374-4063

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 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)

Innermind Solutions 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 Innermind Solutions LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1598395725
80 SEYMOUR ST
Hartford, CT 06102
(860) 972-2629
✔ PECOS✔ Accepts Medicare287 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 Innermind Solutions LLC's NPI number?

The NPI number for Innermind Solutions LLC is 1639799141. It was assigned to this organization in the NPPES registry on April 24, 2020.

Where is Innermind Solutions LLC located?

Innermind Solutions LLC is located at 11715 Basswood Dr, Laurel, MD 20708. The listed phone number is (959) 277-0432.

What is Innermind Solutions LLC's specialty?

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

Is Innermind Solutions LLC enrolled in Medicare?

Yes. Innermind Solutions LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innermind Solutions LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Innermind Solutions 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 Innermind Solutions LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.