NPIMap

Organization Active NPI

Mindful Connections Counseling and Learning Center, PLLC

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1104509710
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL CONNECTIONS COUNSELING AND LEARNING CENTER, PLLC
Practice address
3509 E Shea Blvd Ste 111
Phoenix, AZ 85028-3338
Phone
(480) 808-9535
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Meryl Warda, LCSWNPI 1093876351
Title
Owner/Clinical Director
Phone
(480) 818-1561

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3509 E Shea Blvd Ste 111
Phoenix, AZ 85028-3338

Mailing address

3509 E Shea Blvd Ste 111
Phoenix, AZ 85028-3338
Phone (480) 808-9535

Other names 1

  • Mindful Connections Counseling and Learning Center, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

3509 E Shea Blvd
Ste 111
Phoenix, AZ 85028
Phone (480) 808-9535

Practitioners & affiliated clinicians

Practitioners 1

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": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1104509710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 E SHEA BLVD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283338",
            "telephone_number": "480-808-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 E SHEA BLVD STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283338",
            "telephone_number": "480-808-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS COUNSELING AND LEARNING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "WARDA",
        "authorized_official_first_name": "MERYL",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-818-1561",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Connections Counseling and Learning Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.