Mind, Body and Spirit Counseling & Consultation LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND, BODY AND SPIRIT COUNSELING & CONSULTATION LLC

Practice address

2025 Blueberry St Apt 2
Fairbanks, AK 99701-6589

Phone

(773) 981-0620

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Frank Ponziano Jr., LPC, MACNPI 1427297787

Title

Manager

Phone

(773) 981-0620

Specialties & licenses 1

Addresses

Practitioners 1

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

• Frank Charles Ponziano Jr., A.A.S. C.A.D.C.

  • Counselor
  • Northfield, IL
  • NPI 1427297787
  NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1205401809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 BLUEBERRY ST APT 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016589",
            "telephone_number": "773-981-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 BLUEBERRY ST APT 2",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016589",
            "telephone_number": "773-981-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND, BODY AND SPIRIT COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "PONZIANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-981-0620",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC, MAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Milles, P.T.
• Julia Millican
• Kimberly Millican
• Hannah Mills
• Lillian Mary Mincher
• Mariah Ann Minder, M.D.
• Cornelius Lee Mingo Jr.
• Carrie L Miniard, LCSW
• Lydia Mink
• Deborah J Minnick-Shearin, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alaska

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