Mind Care Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND CARE WELLNESS CENTER

Practice address

3833 E Main St # 1039
St Charles, IL 60174-2424

Phone

(773) 615-6278

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

Marta Cybulak, MA, LCPCNPI 1760810295

Title

Owner/ Clinical Therapist

Phone

(773) 615-6278

Specialties & licenses 1

Addresses

Other names 1

• Mind Care Wellness Center Doing business as

Locations

Practitioners 1

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

• Marta Cybulak, MA, LCPC

  • Professional Counselor
  • St Charles, IL
  • NPI 1760810295
  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1326796129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 WHITEHALL LN",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026205",
            "telephone_number": "773-615-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 E MAIN ST # 1039",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742424",
            "telephone_number": "773-615-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CARE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "CYBULAK",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "OWNER/ CLINICAL THERAPIST",
        "authorized_official_telephone_number": "773-615-6278",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Care Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Anne Miemczewski, LCPC
• Mikyung Yun OD PC
• Deborah M Miller-Lunsford, MSW
• Carey Nicole Miller
• Peyton Miller, OTR/L
• Katie Jean Miner
• Kathryn Ann Minnich-Meyer, PTA
• Bridget Mitchell, MS, RDN, LDN
• Colette Mitchell
• Karyn Mitchell, N.D., PH.D, LMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in St Charles, IL
• Providers in St Charles, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.