Mindworx, PA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDWORX, PA

Practice address

501 Delaware St Ste 9
Leavenworth, KS 66048-2664

Phone

(913) 489-7099

NPI assigned

Jan 22, 2019

Last updated

Dec 20, 2023By 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

Lisa BozzoliNPI 1154728665

Title

President

Phone

(913) 489-7099

Specialties & licenses 1

Addresses

Locations

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.

• Lisa Bozzoli, LPC

  • Professional Counselor
  • Leavenworth, KS
  • NPI 1154728665
  NPD Authorized official

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1013471226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E WILLOW DR APT 120",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621852",
            "telephone_number": "913-489-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DELAWARE ST STE 9",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482664",
            "telephone_number": "913-489-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWORX, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BOZZOLI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-489-7099"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Day Miller
• Pamela Jean Miller
• Shayla Miller
• Erin Elisabeth Mills, PSY.D.
• Vernon A. Mills, M.D.
• Ivan Minnis, RN
• Adam P Misasi, MD
• Luis Fernando Missura, DMD
• Kimberly Sara Mitchell-Rajtar, MSN, RN
• Rebecca Lynn Moberly, PHD

• Professional Counselor in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.