Mindful LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL LLC

Practice address

1024 N 4TH St
Marquette, MI 49855-3401

Phone

(341) 400-6463

NPI assigned

Sep 16, 2025

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwen E Storm, LMSWNPI 1851611073

Title

Owner

Phone

(341) 400-6463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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.

• Gwen E Storm, LMSW

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1851611073
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1326919978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N 4TH ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553401",
            "telephone_number": "341-400-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N 4TH ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553401",
            "telephone_number": "341-400-6463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 2nd St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498553507",
            "country_code": "US",
            "telephone_number": "341-400-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "341-400-6463",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynne Miller
• Todd Miller Jr., PA-C
• Tia Lavelle Mills, NP
• Milton D Soderberg MD
• Mind Matter LLC
• Lyvia Rose Misegades
• Andrew Mitchell
• Jennifer K Mogan, RN
• Natalie K Molnau, BEHAVIOR TECHNICIAN
• Monarch Healthcare (Monarch Mental Healthcare)

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.