A Mindful Change Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

A MINDFUL CHANGE BEHAVIORAL HEALTH

Practice address

916 Nevada Way Ste 5
Boulder City, NV 89005-2300

Phone

(702) 930-4126

Fax

(702) 441-7021

NPI assigned

Nov 18, 2022

Last updated

Mar 11, 2023By 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

Mrs. Cyndi Evette Carpluk, LMSW, LCSWNPI 1366004707

Title

Owner

Phone

(702) 930-4126

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

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.

• Cyndi Evette Carpluk, LMSW, LCSW

  • Clinical Social Worker
  • Boulder City, NV
  • NPI 1366004707
  Medicare reassignment NPD Authorized official
• Emma Bobbitt

  • Social Worker
  • Jeffersonville, IN
  • NPI 1356806046

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1336858281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NEVADA WAY STE 5",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NEVADA WAY STE 5",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052300",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890052733",
            "country_code": "US",
            "telephone_number": "702-930-4126",
            "fax_number": "702-441-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A MINDFUL CHANGE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "CARPLUK",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-930-4126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250003704",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Records Management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "916 Nevada Way Ste 5",
            "city": "Boulder City",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890052300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• A Mindful Change Behavioral Health
• Kayla Adams
• Nicola Adams
• Valeria Aguilera
• Albertsons LLC (Sav-on Pharmacy #0093)
• Haley Brook Albin

• Clinical Social Worker in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.