Mindful Living Therapy and Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDFUL LIVING THERAPY AND COUNSELING

Practice address

1 Latimer Way
Burlington, NJ 08016-2930

Phone

(314) 605-0829

NPI assigned

May 19, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Rochelle Rene Graham, MA, LACNPI 1922662147

Title

Ceo

Phone

(314) 605-0829

Specialties & licenses 3

Addresses

Practitioners 1

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

• Rochelle R Graham, MA, LAC

  • Professional Counselor
  • Burlington, NJ
  • NPI 1922662147
  NPD Authorized official

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1326604919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LATIMER WAY",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162930",
            "telephone_number": "314-605-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LATIMER WAY",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162930",
            "telephone_number": "314-605-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING THERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-605-0829",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Mest, M.D.
• Philip C Mesthos, D.C.
• Jennifer Mettille
• Pria Milledge, LPN
• Anissa Miller, CNA
• Mindfully Healing Mental and Behavioral Wellness Services
• Beth A Mitchell, MSW, LCSW
• Nilesh K Modi
• Bibi Mohamed, LPN
• Jacqueline M Moloney

• Community/Behavioral Health Agency in Burlington, NJ
• Providers in Burlington, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.