Blacksoleheeling, LLC
Blacksoleheeling, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Waldorf, MD, holding Type 2 (organization) NPI 1912627811 since 2022. The authorized official on file is Donnika Jenkins, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912627811 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blacksoleheeling, LLC |
| Practice address | 2807 PINEWOOD DR, Waldorf, MD, 20601 |
| Phone | 2407252727 |
| Enumeration date | 2022-08-31 |
| Last updated in NPPES | 2022-08-31 |
Authorized official
| Name | Donnika Jenkins |
|---|---|
| Title | Cfo |
| Phone | 2407252727 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0850X | Adult Mental Health Clinic/Center | Secondary | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | Secondary | — | — |
| 323P00000X | Psychiatric Residential Treatment Facility | Secondary | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Blacksoleheeling, LLC NPI: 1912627811 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 2807 PINEWOOD DR, Waldorf, MD, 20601
Verify this record
Cross-check NPI 1912627811 against the authoritative CMS record: view Blacksoleheeling, 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
What type of organization is Blacksoleheeling, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-31.