Organization Active NPI

Mindful Beginnings Counseling

  • Medical Specialty Clinic/Center
  • Duluth, MN
National Provider Identifier
1194577643
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MINDFUL BEGINNINGS COUNSELING
Practice address
5471 Jean Duluth Rd
Duluth, MN 55803-9749
Phone
(218) 260-6332
Fax
(218) 219-9739
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Ashely D Skadsem, LPCCNPI 1134652068
Title
Owner/Clinician
Phone
(218) 260-6332

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

5471 Jean Duluth Rd
Duluth, MN 55803-9749

Mailing address

5471 Jean Duluth Rd
Duluth, MN 55803-9749
Phone (218) 260-6332

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.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1194577643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 JEAN DULUTH RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558039749",
            "telephone_number": "218-260-6332",
            "fax_number": "218-219-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 JEAN DULUTH RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558039749",
            "telephone_number": "218-260-6332",
            "fax_number": "218-219-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BEGINNINGS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "SKADSEM",
        "authorized_official_first_name": "ASHELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "218-260-6332",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.