Organization Active NPI

Mindful Concepts Therapeutic and Counseling Services

  • Mental Health Counselor
  • Newark, DE
National Provider Identifier
1043081029
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL CONCEPTS THERAPEUTIC AND COUNSELING SERVICES
Practice address
88 Highland Cir
Newark, DE 19713-1458
Phone
(215) 880-2949
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Mr. Blassingale Corey, LPCMH
Title
Licensed Professional Counselor
Phone
(215) 880-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

88 Highland Cir
Newark, DE 19713-1458

Mailing address

88 Highland Cir
Newark, DE 19713-1458
Phone (215) 880-2949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1043081029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HIGHLAND CIR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131458",
            "telephone_number": "215-880-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 HIGHLAND CIR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131458",
            "telephone_number": "215-880-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONCEPTS THERAPEUTIC AND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "BLASSINGALE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "215-880-2949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCMH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.