Mindful Authenticity, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL AUTHENTICITY, LLC

Practice address

1612 Laporte Ave Unit 2
Fort Collins, CO 80521-2399

Phone

(970) 279-1117

Fax

(970) 837-3401

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Hali Neves, MA, LPCNPI 1073892725

Title

Owner

Phone

(970) 279-1117

Specialties & licenses 3

Addresses

Tax ID family

Mindful Authenticity LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mindful Authenticity, LLC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1780302133
  NPD tax ID
• Mindful Authenticity, LLC

  • Professional Counselor
  • Greybull, WY
  • NPI 1487373056
  NPD tax ID
• Mindful Authenticity, LLC

  • Professional Counselor
  • Greybull, WY
  • NPI 1528633625
  NPD tax ID

Locations

Practitioners 1

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

• Hali Neves, MA, LPC

  • Professional Counselor
  • Fort Collins, CO
  • NPI 1073892725
  NPD (past) Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1114757630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 BELLEVIEW DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263840",
            "telephone_number": "970-279-1117",
            "fax_number": "970-837-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 LAPORTE AVE UNIT 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212399",
            "telephone_number": "970-279-1117",
            "fax_number": "970-837-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 Road 12",
            "address_purpose": "LOCATION",
            "city": "Greybull",
            "state": "WY",
            "postal_code": "824269624",
            "country_code": "US",
            "telephone_number": "970-279-1117",
            "fax_number": "970-837-3401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1163 Belleview Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805263840",
            "country_code": "US",
            "telephone_number": "970-279-1117",
            "fax_number": "970-837-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL AUTHENTICITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "NEVES",
        "authorized_official_first_name": "HALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-279-1117",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minds Matter Mental Health LLC

• Professional Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.