NPIMap

Organization Active NPI

Mindfulness Based Interventions LLC

  • Adult Mental Health Clinic/Center
  • Montrose, CO
National Provider Identifier
1093579609
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MINDFULNESS BASED INTERVENTIONS LLC
Practice address
1113 E Main St
Montrose, CO 81401-4043
Phone
(970) 318-0529
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Nichole L Moorman, LCSWNPI 1053554964
Title
Owner
Phone
(970) 318-0529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1113 E Main St
Montrose, CO 81401-4043

Mailing address

PO Box 12
Ouray, CO 81427-0012
Phone (970) 318-0529

Other practice location 1

640 Sherman St Unit H
Ridgway, CO 81432
Phone (970) 318-0529

Other practice location 2

255 Hunter PKWY
Ridgway, CO 81432
Phone (970) 318-0529

Other practice location 3

302 N Townsend Ave
Montrose, CO 81401-3554
Phone (970) 318-0529

Other practice location 4

380 Sherman St
Ridgway, CO 81432-5055
Phone (970) 318-0529

National Provider Directory

National Provider Directory
Tax ID family
Mindfulness Based Interventions LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1093579609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "OURAY",
            "state": "CO",
            "postal_code": "814270012",
            "telephone_number": "970-318-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014043",
            "telephone_number": "970-318-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Sherman St Unit H",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "81432",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Hunter PKWY",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "81432",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 N Townsend Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814013554",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Sherman St",
            "address_purpose": "LOCATION",
            "city": "Ridgway",
            "state": "CO",
            "postal_code": "814325055",
            "country_code": "US",
            "telephone_number": "970-318-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFULNESS BASED INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "MOORMAN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-318-0529",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.