Mind Heart Health LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MIND HEART HEALTH LLC

Practice address

4920 Idlewilde LN SE
Albuquerque, NM 87108-3519

Phone

(505) 480-9776

NPI assigned

Dec 3, 2020

Last updated

Dec 16, 2020By 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

Fernando Ortiz

Title

Credentialing Manager

Phone

(575) 707-8150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1376148650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 IDLEWILDE LN SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083519",
            "telephone_number": "505-480-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 IDLEWILDE LN SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871083519",
            "telephone_number": "505-480-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEART HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "575-707-8150"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rebecca Minarsich-Noble, MA
• Jaelan Mincey, CD(DONA)
• Mind and Body Medical and Recovery
• Mind Garden Therapy New Mexico
• Mind Heart and Soul Counseling LLC
• Mind Medicine Clinic LLC (Mind Medicine Clinic)
• Mind Over Matters Holistic Wellness
• Mind Therapy LLC
• Mindbodyhome NM, LLC
• Mindful Counseling LLC

• Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.