Mindful Discoveries Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL DISCOVERIES THERAPY, PLLC

Practice address

207 Stephen St Ste 3
Lemont, IL 60439-3710

Phone

(630) 247-1745

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Shumicki, LCPCNPI 1538529961

Title

Owner

Phone

(630) 247-1745

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Judy Ann Shumicki, LCPC

  • Professional Counselor
  • Lemont, IL
  • NPI 1538529961
  NPD Authorized official

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1093487720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 STEPHEN STREET, SUITE 3",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "60439",
            "telephone_number": "630-247-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 STEPHEN ST STE 3",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604393710",
            "telephone_number": "630-247-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL DISCOVERIES THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "SHUMICKI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-247-1745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lemont, IL
• Providers in Lemont, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.