Active NPI
Mindful Priority Counseling LLC
- Mental Health Counselor
- Maryville, IL
National Provider Identifier
1124879580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDFUL PRIORITY COUNSELING LLC
- Practice address
- 9 Professional Park Dr Ste 16B
Maryville, IL 62062-5672 - Phone
- (419) 953-1259
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Burns
- Title
- Owner
- Phone
- (419) 953-1259
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9 Professional Park Dr Ste 16B
Maryville, IL 62062-5672
Mailing address
9 Professional Park Dr Ste 16B
Maryville, IL 62062-5672
National Provider Directory
National Provider DirectoryPractitioners & 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": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1124879580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PROFESSIONAL PARK DR STE 16B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 PROFESSIONAL PARK DR STE 16B",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625672",
"telephone_number": "419-953-1259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL PRIORITY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-953-1259"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.