Organization Active NPI

Mind Reset Therapy

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1205626900
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND RESET THERAPY
Practice address
34443 Chantilly CT
Farmington Hills, MI 48335-1439
Phone
(248) 252-3741
NPI assigned
May 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Corina Baldwin, LMSW
Title
Owner
Phone
(248) 282-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

34443 Chantilly CT
Farmington Hills, MI 48335-1439

Mailing address

34443 Chantilly CT
Farmington Hills, MI 48335-1439
Phone (248) 252-3741

Other names 1

  • Mind Reset Therapy Former legal business name

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": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1205626900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34443 CHANTILLY CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351439",
            "telephone_number": "248-252-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34443 CHANTILLY CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351439",
            "telephone_number": "248-252-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RESET THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-282-3741",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Reset Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.