Organization Active NPI

Mindful Heart Family Therapy, Inc

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1265067011
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDFUL HEART FAMILY THERAPY, INC
Practice address
1411 Marsh St Ste 108
San Luis Obispo, CA 93401-2967
Phone
(805) 602-6845
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Denan Burke, LMFTNPI 1467623488
Title
President/Ceo
Phone
(805) 835-1222

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1411 Marsh St Ste 108
San Luis Obispo, CA 93401-2967

Mailing address

PO Box 4201
San Luis Obispo, CA 93403-4201
Phone (805) 835-1222

Other names 1

  • Mindful Heart Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

641 Higuera St
Ste 202
San Luis Obispo, CA 93401
Phone (805) 596-0234

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": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1265067011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934034201",
            "telephone_number": "805-835-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MARSH ST STE 108",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012967",
            "telephone_number": "805-602-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEART FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "DENAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-835-1222",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Heart Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindful Heart Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.