NPIMap

Organization Active NPI

Mind Heart Connection LLC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1366066938
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND HEART CONNECTION LLC
Practice address
820 Maple Forest CT
Chesapeake, VA 23322-7566
Phone
(757) 295-1968
NPI assigned
May 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Authorized official

Name
Mr. Mark Thomas BleilNPI 1831482736
Title
Registered Agent
Phone
(757) 295-1968

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

820 Maple Forest CT
Chesapeake, VA 23322-7566

Mailing address

820 Maple Forest CT
Chesapeake, VA 23322-7566
Phone (757) 295-1968

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1366066938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MAPLE FOREST CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227566",
            "telephone_number": "757-295-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MAPLE FOREST CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227566",
            "telephone_number": "757-295-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEART CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "BLEIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "757-295-1968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.