Mindfulness Institute of NW Illinois

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MINDFULNESS INSTITUTE OF NW ILLINOIS

Practice address

104 E 3Rd St
Rock Falls, IL 61071-1287

Phone

(815) 716-8385

Fax

(815) 716-8960

NPI assigned

May 31, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeanne Vargas, MA BSWNPI 1558853010

Title

Founder and Director

Phone

(815) 716-8385

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeanne Ann Vargas, MA, BSW

  • Social Worker
  • Rock Falls, IL
  • NPI 1558853010
  NPD (past) Authorized official

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1265924716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 3RD ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711287",
            "telephone_number": "815-716-8385",
            "fax_number": "815-716-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 3RD ST",
            "city": "ROCK FALLS",
            "state": "IL",
            "postal_code": "610711287",
            "telephone_number": "815-716-8385",
            "fax_number": "815-716-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS INSTITUTE OF NW ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "FOUNDER AND DIRECTOR",
        "authorized_official_telephone_number": "815-716-8385",
        "authorized_official_credential": "MA BSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Christine Mandrell, RPH
• Sarah Mathew, MD
• Midwest Health Operations LLC (Sauk Valley Senior Living & Rehabilitation)
• Cali J Miles, M.S. CCC-SLP
• Whitney Lynn Miller, LCSW
• Douglas Eugene Mitchem
• Payton Moe, PA-C
• Montmorency C C S D 145
• Tammy Jo Moran, PA
• Jeanne Heather Nailor, APN, FNP-BC

• Clinic/Center in Rock Falls, IL
• Providers in Rock Falls, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.