Mindful Practice Co. LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL PRACTICE CO. LLC

Practice address

701 E Reagan Pkwy
Medina, OH 44256-1238

Phone

(614) 285-4827

NPI assigned

Jul 13, 2026

Organization subpart

No

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

Authorized official

Name

Katelyn Wagner, LISW-S

Title

Owner/Mental Health Therapist

Phone

(614) 285-4827

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1023937174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442580100",
            "telephone_number": "614-285-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E REAGAN PKWY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561238",
            "telephone_number": "614-285-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Sea Breeze Dr E",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "430748080",
            "country_code": "US",
            "telephone_number": "614-285-4827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL PRACTICE CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "614-285-4827",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Ellen Miller, CRNA
• Veronica Miller, OTR/L, CHT
• Eileen Mills, RN
• Richard H Mills, LSW
• John Thomas Millward, R.PH.
• Mindful Solutions
• Andrew Mirabella, DPT
• Igor Miroshnichenko
• Cheryl Lynn Mitchell, LPCC-S
• Jessica Ellen Mitchell

• Clinical Social Worker in Medina, OH
• Providers in Medina, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.