Organization Active NPI

Mindful Hearts Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carrollton, TX
National Provider Identifier
1104348937
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL HEARTS COUNSELING, PLLC
Practice address
1925 E Belt Line Rd Ste 258
Carrollton, TX 75006-5801
Phone
(469) 713-2413
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Vanessa E Fajardo, LPC
Title
Licensed Professional Counselor
Phone
(469) 713-2413

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1925 E Belt Line Rd Ste 258
Carrollton, TX 75006-5801

Mailing address

450 S Denton Tap Rd Unit 693
Coppell, TX 75019-7129

National Provider Directory

National Provider Directory

Locations

1925 E Belt Line Rd
Ste 258
Carrollton, TX 75006
Phone (469) 713-2413

450 S Denton Tap Rd
Unit 693
Coppell, TX 75019
Phone (469) 713-2413

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1104348937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S DENTON TAP RD UNIT 693",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E BELT LINE RD STE 258",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065801",
            "telephone_number": "469-713-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEARTS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "469-713-2413",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.