Mindbody Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDBODY COUNSELING

Practice address

400 S Rose St Apt 401
Kalamazoo, MI 49007-5231

Phone

(269) 330-4695

NPI assigned

Feb 22, 2021

Last updated

Jul 8, 2021By 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

Dr. Jennifer Clay Mills, PHD

Title

Therapist/ Owner

Phone

(269) 330-4695

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Langeland Other name

Electronic endpoints 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.

• Jennifer Mills Mills, PHD

  • Professional Counselor
  • Kalamazoo, MI
  • NPI 1730381906
  NPD

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1023602034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ROSE ST APT 401",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075231",
            "telephone_number": "269-330-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ROSE ST APT 401",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075231",
            "telephone_number": "269-330-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDBODY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "THERAPIST/ OWNER",
        "authorized_official_telephone_number": "269-330-4695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kalamazoo",
            "affiliation": "N",
            "endpointDescription": "Jituzu HIPPA app",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Myclientsplus",
            "address_1": "812 Wilshire Blvd",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490082345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jennifer Langeland",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jennifer Langeland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.