MINDFULBALANCED PSYCHIATRIC LLC
NPI 1932926102
Nurse Practitioner - Psychiatric/Mental Health in Owings Mills, MD

Active since September 20, 2024
10711 RED RUN BLVD STE 101, OWINGS MILLS, MD 21117(443) 264-1250(855) 613-0989 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Sep 20, 2024 (2 updates tracked since 2024).

About Mindfulbalanced Psychiatric Llc NPPES

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

MINDFULBALANCED PSYCHIATRIC LLC (NPI 1932926102) is a healthcare organization registered as a psychiatric/mental health in Owings Mills, Maryland and active in the NPI registry since September 2024. The organization maintains 2 additional practice locations and lists Adanna Ikwuegbu, Owner, as its authorized official.

NPPES Registry Identity

NPI1932926102
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFULBALANCED PSYCHIATRIC LLC
Location Address10711 RED RUN BLVD STE 101Owings Mills, MD 21117-5138
Mailing Address9722 Groffs Mill Dr Ste 1040Owings Mills, MD 21117-6341 · (443) 449-3941
Fax(855) 613-0989
Organization SubpartNo
Authorized OfficialAdanna IkwuegbuOwner · (443) 449-3941
Enumeration DateSeptember 20, 2024
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1932926102 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
10711 RED RUN BLVD STE 101, Owings Mills, MD 21117

Secondary Practice Locations 2

Location 19506 Lyonswood DrOwings Mills, MD 21117-4714 · Phone (443) 449-3941
Location 21050 Connecticut Ave NW # 5005Washington, DC 20036-5303 · Phone (443) 264-1250 · Fax (855) 613-0989

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindfulbalanced Psychiatric LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1982473625
9506 LYONSWOOD DR
Owings Mills, MD 21117
(443) 449-3941
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1659107928
2908 TOPAZ RD
Parkville, MD 21234
(443) 627-3913
✔ PECOS✔ Accepts Medicare14 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 Mindfulbalanced Psychiatric LLC's NPI number?

The NPI number for Mindfulbalanced Psychiatric LLC is 1932926102. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Mindfulbalanced Psychiatric LLC located?

Mindfulbalanced Psychiatric LLC is located at 10711 Red Run Blvd Ste 101, Owings Mills, MD 21117. The listed phone number is (443) 264-1250.

What is Mindfulbalanced Psychiatric LLC's specialty?

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

Is Mindfulbalanced Psychiatric LLC enrolled in Medicare?

Yes. Mindfulbalanced Psychiatric LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindfulbalanced Psychiatric LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindfulbalanced Psychiatric 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindfulbalanced Psychiatric LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.