Mindful Wellness Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL WELLNESS COUNSELING

Practice address

935 175TH St
Homewood, IL 60430-2049

Phone

(708) 637-1672

Fax

(708) 637-1633

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jevita Renee Hamilton, LCSWNPI 1942791371

Title

Lead Therapist

Phone

(708) 637-1672

Specialties & licenses 3

Addresses

Other names 1

• UNICHO Management LLC - Mindful Wellness Counseling Series Former legal business name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mindful Wellness Counseling Group

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1558184465
  NPPES parent name

Practitioners 1

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

• Jevita Renee' Hamilton, LCSW

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1942791371
  NPD Authorized official

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1225695299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 157TH ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731528",
            "telephone_number": "708-941-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302049",
            "telephone_number": "708-637-1672",
            "fax_number": "708-637-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JEVITA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "708-637-1672",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNICHO Management LLC - Mindful Wellness Counseling Series",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kyle Raymond Miller, MA
• Sheree N Miller
• Stacie Danielle Miller
• Ruth Ann Mills, CHIROPRACTOR
• Mary Mims
• Mindful Wellness Counseling Group
• Minds Empowered Counseling
• Minds Empowered Counseling Services LLC
• Rachel Cortney Minkel
• Josephine Minnicino, MD

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.