NPIMap

Organization Active NPI

Mindful Paths LLC

  • Professional Counselor
  • Edinboro, PA
National Provider Identifier
1033561469
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL PATHS LLC
Practice address
124 Meadville St
Suite 105
Edinboro, PA 16412-2502
Phone
(844) 977-2847
Fax
(844) 717-2847
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Robin S Archer, LPCNPI 1124357975
Title
Sole Member/Owner
Phone
(814) 671-2633

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

124 Meadville St
Suite 105
Edinboro, PA 16412-2502

Mailing address

PO Box 555
Suite 105
Edinboro, PA 16412-0555
Phone (844) 977-2847

National Provider Directory

National Provider Directory

Locations

124 Meadville St
Ste 105
Edinboro, PA 16412
Phone (814) 795-2870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1033561469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "address_2": "SUITE 105",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164120555",
            "telephone_number": "844-977-2847",
            "fax_number": "844-717-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MEADVILLE ST",
            "address_2": "SUITE 105",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122502",
            "telephone_number": "844-977-2847",
            "fax_number": "844-717-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "814-671-2633",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.