Organization Active NPI

Managing With Mindfulness, PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1184384166
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANAGING WITH MINDFULNESS, PLLC
Practice address
405 W Superior St Ste 427
Chicago, IL 60654-8501
Phone
(317) 727-8369
NPI assigned
Dec 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Authorized official

Name
Robert Foreman
Title
Credentialing
Phone
(815) 674-5180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

405 W Superior St Ste 427
Chicago, IL 60654-8501

Mailing address

405 W Superior St Ste 427
Chicago, IL 60654-8501

National Provider Directory

National Provider Directory

Locations

405 W Superior St
Ste 427
Chicago, IL 60654
Phone (317) 727-8369

Practitioners & affiliated clinicians

Practitioners 3

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": "1639785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639785600000",
    "number": "1184384166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W SUPERIOR ST STE 427",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W SUPERIOR ST STE 427",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548501",
            "telephone_number": "317-727-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGING WITH MINDFULNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "815-674-5180"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.