Vital Mind
NPI 1205553955 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fairmount Heights, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vital Mind is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fairmount Heights, MD (NPI 1205553955).
Provider details
- NPI number
- 1205553955
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ebunoluwa Lawal, Chief Executive Officer(703) 980-0478
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-24
- Last updated
- 2024-02-09
- Certified
- 2024-02-09
Frequently asked questions
- What is Vital Mind's NPI number?
- Vital Mind's National Provider Identifier (NPI) is 1205553955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vital Mind?
- Vital Mind is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Vital Mind located?
- Vital Mind's practice location on file with NPPES is 525 Eastern Ave Ste B3, Fairmount Heights, MD 20743-1677.
- What is Vital Mind's phone number?
- The practice phone number listed in the NPPES registry for Vital Mind is (703) 980-0478.
- Does Vital Mind accept Medicare?
- Vital Mind is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Vital Mind?
- The authorized official listed on Vital Mind's NPPES record is Ebunoluwa Lawal, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vital Mind's NPI active?
- Yes — Vital Mind's NPI (1205553955) is active in the NPPES registry as of the last update on 2024-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.