Organization Active NPI

Mindshift Consulting LLC

  • Mental Health Counselor
  • Saint Louis, MO
National Provider Identifier
1073359287
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDSHIFT CONSULTING LLC
Practice address
1079 N Spoede Rd
Saint Louis, MO 63146-5574
Phone
(929) 316-9045
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Andrea Kostadinovic
Title
Founder
Phone
(929) 316-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1079 N Spoede Rd
Saint Louis, MO 63146-5574

Mailing address

1079 N Spoede Rd
Saint Louis, MO 63146-5574
Phone (929) 316-9045

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1073359287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 N SPOEDE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465574",
            "telephone_number": "929-316-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 N SPOEDE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465574",
            "telephone_number": "929-316-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHIFT CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-07",
        "status": "A",
        "authorized_official_last_name": "KOSTADINOVIC",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "929-316-9045"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.