Active NPI
Mindful Support Therapy
- Mental Health Counselor
- Wellington, FL
National Provider Identifier
1295419679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MINDFUL SUPPORT THERAPY
- Practice address
- 13577 La Mirada Cir
Wellington, FL 33414-3955 - Phone
- (561) 758-2549
- NPI assigned
- Jun 14, 2023
- Last updated
- Apr 24, 2024
- 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
- Sharon Sinclair, LMHC
- Title
- Owner
- Phone
- (561) 758-2549
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
13577 La Mirada Cir
Wellington, FL 33414-3955
Mailing address
13577 La Mirada Cir
Wellington, FL 33414-3955
Phone (561) 758-2549
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Wellington, FL
- NPI 1083250559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1295419679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13577 LA MIRADA CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143955",
"telephone_number": "561-758-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13577 LA MIRADA CIR",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143955",
"telephone_number": "561-758-2549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL SUPPORT THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-758-2549",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.