Mindfulness and Motivation LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFULNESS AND MOTIVATION LLC

Practice address

1 Miyoko Point Spur Rd
Republic, WA 99166-8740

Phone

(737) 238-0127

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Aisha N. Charles, JD, LCSW, LICSWNPI 1821760588

Title

Owner/Therapist

Phone

(737) 238-0127

Specialties & licenses 1

Addresses

Other names 1

• Mindfulness and Motivation LLC Doing business as

Locations

Practitioners 1

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

• Aisha N Charles, JD, LCSW, LICSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1821760588

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1043077449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 5379",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "737-238-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MIYOKO POINT SPUR RD",
            "city": "REPUBLIC",
            "state": "WA",
            "postal_code": "991668740",
            "telephone_number": "737-238-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS AND MOTIVATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "AISHA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "737-238-0127",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD, LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindfulness and Motivation LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindfulness and Motivation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Konen, DPT
• David James Kopp, MA
• Kelsey Krueger
• Cassandra N Lembcke
• Lisa Michelle Matiaco, PA-C
• Melissa Mitchell, DNP, AGPCNP-BC
• William A Pellow X, OD
• Republic Dental Clinic
• Republic School District
• Jennifer Jewlynn Rivera

• All providers in Republic, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.