Organization Active NPI

Mindfully Thrive Counseling Services, LLC

  • Clinical Social Worker
  • Bloomfield, CT
National Provider Identifier
1225586308
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007540 Issued in CT
Legal business name
MINDFULLY THRIVE COUNSELING SERVICES, LLC
Practice address
34 Jerome Avenue
Suite 318
Bloomfield, CT 06002-2445
Phone
(860) 458-6118
NPI assigned
Sep 16, 2016
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Latoya Hinds, LCSWNPI 1942466370
Title
Owner
Phone
(860) 458-6118

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
Clinical Social Worker 1041C0700X 007540 CT Primary

Addresses

Primary practice location

34 Jerome Avenue
Suite 318
Bloomfield, CT 06002-2445

Mailing address

34 Jerome Avenue
Suite 318
Bloomfield, CT 06002-2445
Phone (860) 458-6118

National Provider Directory

National Provider Directory

Locations

34 Jerome Ave
Ste 318
Bloomfield, CT 06002
Phone (860) 458-6118

45 S Main St
Ste 107
West Hartford, CT 06107
Phone (860) 778-3304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1225586308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVENUE",
            "address_2": "SUITE 318",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022445",
            "telephone_number": "860-458-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVENUE",
            "address_2": "SUITE 318",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022445",
            "telephone_number": "860-458-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY THRIVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-458-6118",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.