Healing Minds LLC

Primary specialty

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

Legal business name

HEALING MINDS LLC

Practice address

8382 N Wayne Dr Ste 103B
Hayden, ID 83835-6028

Phone

(208) 819-5415

Fax

(208) 203-1496

NPI assigned

Jul 17, 2020

Organization subpart

No

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

Authorized official

Name

Cindy Freer, LCSWNPI 1700395324

Title

Owner

Phone

(208) 819-5415

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Cindy L. Freer, LCSW

  • Clinical Social Worker
  • Osburn, ID
  • NPI 1700395324
  NPD Authorized official

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1356959191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 W FLAGSTAFF ST",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588203",
            "telephone_number": "208-819-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 N WAYNE DR STE 103B",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838356028",
            "telephone_number": "208-819-5415",
            "fax_number": "208-203-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "FREER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-819-5415",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://cindy_freer.clientsecure.me",
            "affiliation": "N",
            "address_1": "8382 N Wayne Dr Ste 103B",
            "city": "Hayden",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838356028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hayden Vision Source PLLC
• Hayden Vision Source PLLC
• Jason Head
• Heal PLLC
• Healing Hub LLC
• Healing Through Compassion, LLC
• Healium Family Support
• Randal Scot Heimark, D.C.
• Kailyn Elizabeth Heinen
• Justin Henderson, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hayden, ID
• Providers in Hayden, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.