Organization Active NPI

The Mindful Brand

  • Mental Health Counselor
  • Phoenixville, PA
National Provider Identifier
1154030013
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE MINDFUL BRAND
Practice address
1233 Egypt Rd
Phoenixville, PA 19460-1184
Phone
(267) 902-9319
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Alphonso Nathan, LPCNPI 1932577327
Title
Ceo
Phone
(267) 902-9319

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1233 Egypt Rd
Phoenixville, PA 19460-1184

Mailing address

1233 Egypt Rd
Phoenixville, PA 19460-1184
Phone (267) 902-9319

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Therapynotes.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1154030013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 EGYPT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601184",
            "telephone_number": "267-902-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 EGYPT RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194601184",
            "telephone_number": "267-902-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINDFUL BRAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "ALPHONSO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-902-9319",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Therapynotes.com",
            "affiliation": "N",
            "address_1": "1233 Egypt Rd",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194601184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.