Active NPI
Be Mindful Therapy LLC
- Clinical Social Worker
- Okemos, MI
National Provider Identifier
1306604004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BE MINDFUL THERAPY LLC
- Practice address
- 2222 W Grand River Ave Ste a
Okemos, MI 48864-1604 - Phone
- (248) 861-6412
- NPI assigned
- Mar 8, 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
- Alyssa Boinais, LLMSW
- Title
- Provider
- Phone
- (693) 024-8533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Mailing address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone (248) 861-6412
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1306604004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 W GRAND RIVER AVE STE A",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641604",
"telephone_number": "248-861-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 W GRAND RIVER AVE STE A",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641604",
"telephone_number": "248-861-6412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE MINDFUL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-08",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "BOINAIS",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "693-024-8533",
"authorized_official_credential": "LLMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.