Mindful Therapy, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007758 Issued in IL

Legal business name

MINDFUL THERAPY, INC.

Practice address

1122 W Catalpa Ave
Chicago, IL 60640-1472

Phone

(312) 945-6728

NPI assigned

Dec 4, 2017

Organization subpart

No

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

Authorized official

Name

Nancy Bielawski, LCPCNPI 1609159011

Title

Professional Counselor

Phone

(312) 945-6728

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nancy Bielawski, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1609159011
  NPD (past) Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1336654029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 W CATALPA AVE APT 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407083",
            "telephone_number": "312-945-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W CATALPA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401472",
            "telephone_number": "312-945-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "BIELAWSKI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "312-945-6728",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Path Behavioral Health and Wellness, Inc.
• Mindful Shift Therapy, PLLC
• Mindful Steps LLC
• Mindful Therapy & Wellness, PLLC
• Mindful Therapy Solutions LLC
• Mindfully Modern Therapy
• Mindfully Serene Pscyhotherapy LLC
• Mindfulness Matters Therapy PLLC
• Mindfulshift Inc
• Samantha M Mindlin, DPT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.