Organization Active NPI

Mindful Therapy & Consulting Services

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1245012129
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL THERAPY & CONSULTING SERVICES
Practice address
98 Lower Westfield Rd Ste 101
Holyoke, MA 01040-2744
Phone
(413) 450-1610
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Lara Nichole Quiles, LICSWNPI 1255690467
Title
Ceo/Owner
Phone
(413) 450-1610

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

98 Lower Westfield Rd Ste 101
Holyoke, MA 01040-2744

Mailing address

98 Lower Westfield Rd Ste 101
Holyoke, MA 01040-2744

National Provider Directory

National Provider Directory

Locations

98 Lower Westfield Rd
Ste 101
Holyoke, MA 01040
Phone (413) 282-8636

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": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1245012129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD STE 101",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402744",
            "telephone_number": "413-450-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY & CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "QUILES",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "413-450-1610",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.