Mindflow Therapy and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFLOW THERAPY AND WELLNESS

Practice address

28 Riverside Dr
Pembroke, MA 02359-4947

Phone

(508) 625-7515

Fax

(508) 213-9025

NPI assigned

Apr 1, 2022

Organization subpart

No

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

Authorized official

Name

Jill Dubendris, LMHCNPI 1023441169

Title

Owner/Provider

Phone

(508) 212-0299

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jill N Dubendris, LMHC

  • Counselor
  • Medford, MA
  • NPI 1023441169
  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653177600000",
    "number": "1083354328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RIVERSIDE DR",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023594947",
            "telephone_number": "508-625-7515",
            "fax_number": "508-213-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFLOW THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A",
        "authorized_official_last_name": "DUBENDRIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "508-212-0299",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenney Chiropractic
• Susan McSweeney, M.S.,LMFT, LMHC
• Amanda Megnia, CNP
• Stefan Mianowski, MD
• Peter Mikhail, M.D.
• Allison Minsky
• Barbara Moeller, LICSW
• Samantha Montigny, NP
• Dawn Moore, LMHC
• Abigail Morgan

• Mental Health Counselor in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; 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.