Mind Wellness Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIND WELLNESS THERAPY, PLLC

Practice address

11279 Blackhawk Dr
Frisco, TX 75033-7385

Phone

(214) 471-2610

NPI assigned

Nov 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kirsten Woods, LPCNPI 1023504479

Title

Psychotherapist/Owner

Phone

(214) 471-2610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kirsten Woods, LPC

  • Professional Counselor
  • Frisco, TX
  • NPI 1023504479
  NPD Authorized official

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1205438462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15922 ELDORADO PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355836",
            "telephone_number": "214-702-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 BLACKHAWK DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750337385",
            "telephone_number": "214-471-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLNESS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "214-471-2610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Frisco, TX
• Providers in Frisco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.