NPIMap

Organization Active NPI

Home Care Preference Dba Mind Haven Therapy & Wellness

  • Mental Health Counselor
  • Brentwood, TN
National Provider Identifier
1144048950
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOME CARE PREFERENCE DBA MIND HAVEN THERAPY & WELLNESS
Practice address
1800 Mallory LN Ste D
Brentwood, TN 37027-2818
Phone
(615) 258-5539
NPI assigned
Sep 30, 2024
Organization subpart
Yes
Parent organization
HOME CARE PREFERENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Delphine Asonfac BurdickNPI 1548110448
Title
Owner
Phone
(615) 258-5539

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Intellectual & Developmental Disabilities PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TM1800X

Addresses

Primary practice location

1800 Mallory LN Ste D
Brentwood, TN 37027-2818

Mailing address

1800 Mallory LN Ste D
Brentwood, TN 37027-2818

Other names 1

  • Mind Haven Therapy & Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Care Preference Dba Mind Haven Therapy Wellness2 organizations share this tax ID, including this one
Part of
Home Care Preference Dba Mind Haven Therapy Wellness

Other organizations with this tax ID 1

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

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1144048950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MALLORY LN STE D",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MALLORY LN STE D",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272818",
            "telephone_number": "615-258-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE PREFERENCE DBA MIND HAVEN THERAPY & WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOME CARE PREFERENCE",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "ASONFAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-258-5539"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Haven Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.