Organization Active NPI

Mindful Steps LLC

  • Community/Behavioral Health Agency
  • Watertown, CT
National Provider Identifier
1154954808
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL STEPS LLC
Practice address
27 Siemon Company Dr Ste 355W
Watertown, CT 06795-2668
Phone
(860) 414-9515
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Belinda Ruth Bridges, LCSWNPI 1326427527
Title
Owner
Phone
(860) 414-9515

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 Primary

Addresses

Primary practice location

27 Siemon Company Dr Ste 355W
Watertown, CT 06795-2668

Mailing address

PO Box 307
Terryville, CT 06786-0307
Phone (860) 418-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528001787 CT Part B Supplier - Clinic/Group Practice 8224459375 Receives reassigned benefits from 2 practitioners
Practice locations: Watertown, CT

National Provider Directory

National Provider Directory

Locations

123 Farmington Ave
Ste 202
Bristol, CT 06010

900 Straits Tpke
Ste 205
Middlebury, CT 06762
Phone (203) 598-4492

27 Siemon Company Dr
Ste 355W
Watertown, CT 06795
Phone (860) 414-9515

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1154954808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067860307",
            "telephone_number": "860-418-9515",
            "fax_number": "860-516-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR STE 355W",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952668",
            "telephone_number": "860-414-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL STEPS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-414-9515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.