Organization Active NPI

Inclusive Minds Therapy, LLC

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1295559003
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INCLUSIVE MINDS THERAPY, LLC
Practice address
29800 Harper Ave Ste 3
Saint Clair Shores, MI 48082-1655
Phone
(586) 279-9760
NPI assigned
Nov 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Courtney Lynn Monreal, LMSWNPI 1841814696
Title
Owner/Clinical Social Worker
Phone
(586) 279-9760

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

29800 Harper Ave Ste 3
Saint Clair Shores, MI 48082-1655

Mailing address

29800 Harper Ave Ste 3
Saint Clair Shores, MI 48082-1655
Phone (586) 279-9760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250328002713 MI Part B Supplier - Clinic/Group Practice 4789107848 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

29800 Harper Ave
Ste 3
Saint Clair Shores, MI 48082
Phone (586) 279-9760

Practitioners & affiliated clinicians

Practitioners 4

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": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1295559003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29800 HARPER AVE STE 3",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821655",
            "telephone_number": "586-279-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29800 HARPER AVE STE 3",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821655",
            "telephone_number": "586-279-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE MINDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "MONREAL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "586-279-9760",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.