Organization Active NPI

Mindful Journey Therapeutic Services LLC

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1124684253
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL JOURNEY THERAPEUTIC SERVICES LLC
Practice address
732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256
Phone
(757) 309-7027
NPI assigned
May 14, 2019
Organization subpart
Yes
Parent organization
CLINICAL HEALTH SYSTEMS CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Nina Franklin, LCSW
Title
Owner
Phone
(757) 309-7027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256

Mailing address

732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256
Phone (757) 309-7027

National Provider Directory

National Provider Directory
Part of
Clinical Health Systems Corp

Locations

739 Thimble Shoals Blvd
Ste 704
Newport News, VA 23606
Phone (757) 309-7027

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1124684253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 702",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-309-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 702",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-309-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL JOURNEY THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL HEALTH SYSTEMS CORP",
        "enumeration_date": "2019-05-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-309-7027",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

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