Organization Active NPI

Mindful Counseling and Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Lincoln, NE
National Provider Identifier
1265086698
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MINDFUL COUNSELING AND WELLNESS, LLC
Practice address
421 S 9TH St Ste 126
Lincoln, NE 68508
Phone
(402) 430-0364
NPI assigned
Jul 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Mrs. Jennifer Kay Fry, PLMHPNPI 1417327990
Title
Owner
Phone
(402) 430-0364

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

421 S 9TH St Ste 126
Lincoln, NE 68508

Mailing address

421 S 9TH St Ste 126
Lincoln, NE 68508-2282
Phone (402) 430-0364

National Provider Directory

National Provider Directory

Locations

421 S 9th St
Ste 126
Lincoln, NE 68508
Phone (402) 430-0364

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": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1265086698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S 9TH ST STE 126",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082282",
            "telephone_number": "402-430-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S 9TH ST STE 126",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68508",
            "telephone_number": "402-430-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-430-0364",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLMHP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.