Evolution Mind, LLC

Evolution Mind, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Maplewood, NJ, holding Type 2 (organization) NPI 1912428905 since 2017. The authorized official on file is Kira Baskerville-Williams, Co-Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1912428905
Entity type	Organization (Type 2)
Legal business name	Evolution Mind, LLC
Practice address	2130 MILLBURN AVE STE D2, Maplewood, NJ, 07040
Phone	9738011801
Fax	9089640809
Enumeration date	2017-06-29
Last updated in NPPES	2017-10-23

Authorized official

Name	Kira Baskerville-Williams
Title	Co-Owner
Phone	9738011801

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	Primary	—	—

Other identifiers

Identifier	Type	State	Issuer
1336699529	Other	NJ	NPI

Copy-ready billing details

Provider: Evolution Mind, LLC
NPI: 1912428905
Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center))
Address: 2130 MILLBURN AVE STE D2, Maplewood, NJ, 07040

Providers at this address

NPI	Name	Type	Specialty	Location
1174044168	Paula Wilson-Howell	Individual	Counseling Psychologist	Maplewood, NJ
1669142980	Justine Asante	Individual	Marriage & Family Therapist	Maplewood, NJ
1164165262	Aiyana Brotherson	Individual	Marriage & Family Therapist	Maplewood, NJ

Verify this record

Cross-check NPI 1912428905 against the authoritative CMS record: view Evolution Mind, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-23. Verify at npiregistry.cms.hhs.gov.

Where is Evolution Mind, LLC located?

The practice location on file with NPPES is in Maplewood, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-10-23.