Mindshift Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDSHIFT CENTER, LLC

Practice address

120 S 10TH St
Quincy, IL 62301-4008

Phone

(217) 440-6247

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Angel Knoverek, PHD

Title

Owner

Phone

(217) 440-6247

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lydia Marie Ahrens

  • Mental Health Counselor
  • Quincy, IL
  • NPI 1699646935
  NPD
• Amanda Renee Tortorige, LPC; LCPC

  • Professional Counselor
  • Glennallen, AK
  • NPI 1568965408
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1194331447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 10TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014008",
            "telephone_number": "217-440-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 10TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014008",
            "telephone_number": "217-440-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHIFT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "KNOVEREK",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-440-6247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Patrick Miller, D.C.
• Sean A Miller, MSW, LCSW
• Thomas H Miller, M.D.
• Melissa Ann Milliken, LPC
• Mindful Perspectives
• Peter John Minich, MD
• Larry C Minnick, M.D.
• Peggy Miracle, NP
• John Ross Mittermann, RPH
• Jamie Mixer, P.T.

• Professional Counselor in Quincy, IL
• Providers in Quincy, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.