Organization Active NPI

Mindful Ascend Integrative Counseling

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1003708223
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL ASCEND INTEGRATIVE COUNSELING
Practice address
9392 SW Serapis Way
Port St Lucie, FL 34987-5446
Phone
(772) 405-2102
Fax
(551) 265-2271
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Izabela Jandura, LMHCNPI 1053176024
Title
Owner
Phone
(772) 405-2102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9392 SW Serapis Way
Port St Lucie, FL 34987-5446

Mailing address

9392 SW Serapis Way
Port St Lucie, FL 34987-5446
Phone (772) 405-2102

Other names 1

  • Mindful Ascend Integrative Counseling Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1003708223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9392 SW SERAPIS WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875446",
            "telephone_number": "772-405-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9392 SW SERAPIS WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349875446",
            "telephone_number": "772-405-2102",
            "fax_number": "551-265-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ASCEND INTEGRATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "JANDURA",
        "authorized_official_first_name": "IZABELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-405-2102",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Ascend Integrative Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.