Mindful Impact Counseling and Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL IMPACT COUNSELING AND COACHING

Practice address

324 NW Meadowlark Dr
Lake City, FL 32055-9509

Phone

(386) 406-5251

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Nimota (Remi) Walker

Title

Ms.

Phone

(386) 406-5251

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nimota Walker, MSW, CBHCM, LCSW

  • Clinical Social Worker
  • Lake City, FL
  • NPI 1700599461
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1043040207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 OHIO AVE N STE A PMB 1052",
            "address_2": "PMB 1052",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NW MEADOWLARK DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320559509",
            "telephone_number": "386-406-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL IMPACT COUNSELING AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "NIMOTA (REMI)",
        "authorized_official_title_or_position": "MS.",
        "authorized_official_telephone_number": "386-406-5251"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milla Pediatrics and Associates, Inc.
• Heather B Miller, CRNA
• Kayleigh Christine Miller, LMT
• Pamula Nicole Miller
• Adrian Mincey
• Jesenia Minniefield, MSW, LCSW
• Sha'Leda Mirra
• Mission Medical Family Practice Inc.
• Anita E Mitchell, LMSW
• Maria Alana Mitchell, LPN

• Clinical Social Worker in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.