Organization Active NPI

Healthy Minds Counseling, Inc.

  • Clinical Social Worker
  • Cranston, RI
National Provider Identifier
1013630771
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALTHY MINDS COUNSELING, INC.
Practice address
25 Cohasset LN
Cranston, RI 02921-1364
Phone
(401) 787-0217
NPI assigned
Sep 19, 2022
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Krysta Jensen, LICSWNPI 1255982872
Title
Licensed Clinical Social Worker
Phone
(401) 787-0217

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

25 Cohasset LN
Cranston, RI 02921-1364

Mailing address

25 Cohasset LN
Cranston, RI 02921-1364
Phone (401) 787-0217

Other practice location 1

222 Auburn St Ste 103
Portland, ME 04103-6005
Phone (207) 616-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124003056 ME Part B Supplier - Clinic/Group Practice 0840729562 Receives reassigned benefits from 23 practitioners
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1013630771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COHASSET LN",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211364",
            "telephone_number": "401-787-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COHASSET LN",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211364",
            "telephone_number": "401-787-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Auburn St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041036005",
            "country_code": "US",
            "telephone_number": "207-616-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY MINDS COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KRYSTA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-787-0217",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.