Mindful Solutions LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1897 Issued in CT

Legal business name

MINDFUL SOLUTIONS LLC

Practice address

58 River St
Milford, CT 06460-3381

Phone

(203) 252-0667

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert E Johnson III, LMFTNPI 1588195747

Title

Owner

Phone

(203) 252-0667

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Emerson Lamb Johnson III, LMFT

  • Marriage & Family Therapist
  • Milford, CT
  • NPI 1588195747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1013443027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RIVER ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603381",
            "telephone_number": "203-252-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 RIVER ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603381",
            "telephone_number": "203-252-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-252-0667",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008071382",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mindful Grace Counseling PLLC
• Mae Mae Andrea Yu-Shih Mirabelli, MD
• Alyssa Miralles-Escobar, LMSW
• Ivan Mok, APRN
• Nicole Mok, MSW
• Joanne Lillian Montgomery, LADC, MSW

• Marriage & Family Therapist in Milford, CT
• Providers in Milford, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.