Active NPI
Mindful Counseling and Wellness, LLC
- Multi-Specialty Clinic/Center
- Lincoln, NE
National Provider Identifier
1265086698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Kay Fry, PLMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1417327990
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.