Mindful Connections Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL CONNECTIONS THERAPY

Practice address

1217 McHenry Rd Ste 237
Buffalo Grove, IL 60089-1379

Phone

(224) 286-1122

NPI assigned

Feb 26, 2022

Organization subpart

No

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

Authorized official

Name

Audrey Raden, LCPCNPI 1477706422

Title

President

Phone

(224) 286-1122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Audrey Grahame Raden, LCPC

  • Mental Health Counselor
  • Buffalo Grove, IL
  • NPI 1477706422
  NPD Authorized official

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1356097521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD STE 237",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "224-286-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 MCHENRY RD STE 237",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891379",
            "telephone_number": "224-286-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "RADEN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-286-1122",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Faith Miller, RBT
• Jeffery Miller, LCPC
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• Alan Mincer, D.D.S.
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• Irwin C. Mishoulam, DDS
• Lindsay E Mittelman, PT, DPT
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• Sarah Mocco, M.S., LCPC, CADC,NCC
• Amanda Marie Modelski, LPC

• Mental Health Counselor in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.