Mindspot Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSPOT COUNSELING, PLLC

Practice address

4833 Silver Pines Road
Traverse City, MI 49685

Phone

(231) 538-2046

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Andrew Peter O'Brien, LMSWNPI 1336887223

Title

Owner

Phone

(231) 538-2046

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Andrew O'Brien, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1336887223
  NPD Authorized official

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1033847694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 14TH ST # 132",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844051",
            "telephone_number": "231-594-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 SILVER PINES ROAD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49685",
            "telephone_number": "231-538-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPOT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-538-2046",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336887223",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "andrewob@mindspotcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "word document",
            "address_1": "526 W 14th St # 132",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496844051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ned Patrick Milne, RPH
• Alenn Dave Verzosa Mina, PHARMD
• Mindful Life Practice, LLC
• Mindful Performance Therapy, PLLC
• Mindset Physical Therapy LLC
• Lora Lee Minidis, LPC
• Laura Lynne Minnis, LPN
• April Ann Missias
• Eileen Mist
• Elizabeth Ann Mitchell, RN, BSN

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.