Mindy J. Nielsen Professional Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C1000527-CR Issued in OH

Legal business name

MINDY J. NIELSEN PROFESSIONAL COUNSELING, LLC

Practice address

1115 Bethel Rd
Columbus, OH 43220-2690

Phone

(614) 595-2344

Fax

(614) 451-3017

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mindy Jonelle Nielsen, PC-CR

Title

Professional Counselor-Clinical Res

Phone

(614) 595-2344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1033596358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 SUMMIT ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432022727",
            "telephone_number": "614-595-2344",
            "fax_number": "614-451-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202690",
            "telephone_number": "614-595-2344",
            "fax_number": "614-451-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDY J. NIELSEN PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "JONELLE",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR-CLINICAL RES",
        "authorized_official_telephone_number": "614-595-2344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PC-CR"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "C1000527-CR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Columbus, OH
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• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.