NPIMap

Organization Active NPI

Mindful Mountain Counseling, P.L.L.C.

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1154767291
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-14028 Issued in AZ
Legal business name
MINDFUL MOUNTAIN COUNSELING, P.L.L.C.
Practice address
17505 N 79TH Ave
Ste. 311C
Glendale, AZ 85308-8725
Phone
(623) 692-4311
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Laura Elma Huber, LPCNPI 1003127770
Title
Owner, Manager
Phone
(623) 692-4311

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
Community/Behavioral Health Agency 251S00000X LPC-14028 AZ Primary

Addresses

Primary practice location

17505 N 79TH Ave
Ste. 311C
Glendale, AZ 85308-8725

Mailing address

17505 N 79TH Ave
Ste. 311C
Glendale, AZ 85308-8725
Phone (623) 692-4311

National Provider Directory

National Provider Directory

Locations

17505 N 79th Ave
Ste 311C
Glendale, AZ 85308
Phone (623) 692-4311

Practitioners & 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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1154767291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "STE. 311C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-692-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "STE. 311C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-692-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOUNTAIN COUNSELING, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELMA",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "623-692-4311",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC-14028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.