Active NPI
Mindful Mission & Associates
- Community/Behavioral Health Agency
- Aiken, SC
National Provider Identifier
1225647100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MINDFUL MISSION & ASSOCIATES
- Practice address
- 640 Old Airport Rd
Aiken, SC 29801-5034 - Phone
- (803) 226-0825
- NPI assigned
- Jul 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawana Patterson, DDS
- Title
- Co-Owner /Executive Director
- Phone
- (202) 607-1535
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
640 Old Airport Rd
Aiken, SC 29801-5034
Mailing address
640 Old Airport Rd
Aiken, SC 29801-5034
Phone (803) 226-0825
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595894400000",
"number": "1225647100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 OLD AIRPORT RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298015034",
"telephone_number": "803-226-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 OLD AIRPORT RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298015034",
"telephone_number": "803-226-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL MISSION & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-28",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "SHAWANA",
"authorized_official_title_or_position": "CO-OWNER /EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "202-607-1535",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.