Mindful Recovery, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1821-01 Issued in CO

Legal business name

MINDFUL RECOVERY, INC

Practice address

3050 Broadway St Ste 300
Boulder, CO 80304-3189

Phone

(303) 883-6921

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Lyndsey Nicole Lee, LPC, LAC

Title

Executive Director

Phone

(303) 883-6921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1366976334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 BROADWAY ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043189",
            "telephone_number": "303-883-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BROADWAY ST STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043189",
            "telephone_number": "303-883-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-883-6921",
        "authorized_official_credential": "LPC, LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "1821-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natsumi Minagawa, PSY.D., LAC
• Mary G Minderman, R.N.
• Mindful and Together
• Mindful Dentistry
• Mindful Minds Psychiatry LLC
• Mindful Therapy Group of Colorado, P.C.
• Mindful Therapy Group of Colorado, P.C.
• Mindhelm LLC
• John Michael Minen, D.C.
• Daniel Warsaw Minerva, PH.D.

• Community/Behavioral Health Agency in Boulder, CO
• Providers in Boulder, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.