Mending Minds Counseling and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2937-226 Issued in WI

Legal business name

MENDING MINDS COUNSELING AND WELLNESS LLC

Practice address

1370 S Commercial St
Neenah, WI 54956-4636

Phone

(920) 420-3188

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Sharon A Hansen, MSENPI 1427597889

Title

Behavioral Health Counselor

Phone

(920) 420-3188

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon A Hansen, MSE

  • Professional Counselor
  • Neenah, WI
  • NPI 1427597889

  School

  NPD Authorized official

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1285162016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 HAYWARD AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047446",
            "telephone_number": "920-420-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-420-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING MINDS COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "920-420-3188",
        "authorized_official_credential": "MSE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2937-226",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": "WI",
            "license": "34629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100055261",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark David McNiel, D.D.S.
• James Frederick McRae, D.C.
• Medical Transport Services, LLC
• Halie Rae Meidenbauer, OTR/L
• Jean Meissner, MSE, NCC, LPC-IT
• David Detlef Mentz, D.M.D.
• Austin Mentzel
• Mercy Medical Center of Oshkosh Inc
• Michele L Meszaros, NP
• Samantha Kay Metzger, NP

• Mental Health Counselor in Neenah, WI
• Providers in Neenah, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.