Mindful Balance Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL BALANCE MENTAL HEALTH LLC

Practice address

11 Pearl St Ste 104
Essex Junction, VT 05452-3650

Phone

(802) 310-7573

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Anne HoodNPI 1023634458

Title

Owner/Operator/Therapist

Phone

(802) 310-7573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

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

• Anne Marie Hood, LCMHC

  • Mental Health Counselor
  • Essex Junction, VT
  • NPI 1023634458
  Medicare reassignment NPD Authorized official
• Leah K Barnett, LICSW

  • Clinical Social Worker
  • Essex Junction, VT
  • NPI 1366217143
  NPD (past)

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1033987185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PERRY DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523371",
            "telephone_number": "802-310-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PEARL ST STE 104",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523650",
            "telephone_number": "802-310-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BALANCE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/OPERATOR/THERAPIST",
        "authorized_official_telephone_number": "802-310-7573"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivana Ulicna Meservey, PMHNP-BC
• Nancy Laura Middleton, M.D.
• Kristin Mills, CCC-SLP
• Milton Family Eyecare
• Matthew Joseph Minarski, RPH
• Amber L. Minton, LICSW
• Isabelle Miquel
• Mojo PT & Pilates PLLC
• Angie May Montcalm, MED, ATC, CSCS
• Michele Marie Mosley

• Mental Health Counselor in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.