Mindful Change Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL CHANGE COUNSELING LLC

Practice address

219 High St
Moorestown, NJ 08057-3505

Phone

(609) 320-1332

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Maura Rafferty, LCSWNPI 1013675651

Title

Owner

Phone

(609) 320-1332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Maura R. Rafferty, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
  • NPI 1013675651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1053116236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HIGH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573505",
            "telephone_number": "609-320-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HIGH ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573505",
            "telephone_number": "609-320-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CHANGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "MAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-320-1332",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis C Miller, OD
• Gregory T. Miller, M.A., LPC
• Jamie R Miller, M.S., CCC-SLP
• Robin S. Miller, N.P.
• Brittni Milne
• Michael H Minoff, M.D.
• Maria Elena Minton, MSN, RN, AGPCNP-BC
• Andrea Mizia
• Mobilitde LLC
• Nidhi Mody, DO

• Clinical Social Worker in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.