Mindful Healing Counseling Center, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL HEALING COUNSELING CENTER, P.C.

Practice address

16027 Oak Ave
Oak Forest, IL 60452-4028

Phone

(773) 490-7895

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Ann Richter, LCSWNPI 1508315557

Title

Ceo

Phone

(773) 490-7895

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelly Richter

  • Social Worker
  • Bourbonnais, IL
  • NPI 1508315557
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1144935834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16027 OAK AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524028",
            "telephone_number": "773-490-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16027 OAK AVE",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604524028",
            "telephone_number": "773-490-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-490-7895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott Millington, M.D.
• Lindsay Miroballi, M.A., L.P.C.
• Inder Mohini, PT
• Kelly Ann Moore, BCBA
• Isaac Morcos, ISAAC MORCOS,M.D.
• Anne Elyse Morrill-Ploum, MA

• All providers in Oak Forest, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.