Mindful Balance, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDFUL BALANCE, LLC

Practice address

100 Cummings Ctr Ste 225C
Beverly, MA 01915-6153

Phone

(978) 224-8867

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Joanne Sullivan, LICSWNPI 1023266525

Title

Owner

Phone

(978) 224-8867

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.

• Joanne Sullivan

  • Social Worker
  • Lynn, MA
  • NPI 1023266525
  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1376273813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 LAFAYETTE ST APT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704725",
            "telephone_number": "781-248-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 225C",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156153",
            "telephone_number": "978-224-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-224-8867",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Miller
• Laura Ellen Miller, LCSW
• Sierra Miller
• Kelsey Barbara Mills
• Robin Ann Milner, LMHC
• Mari Trecia Minkel, LMHC
• Jainess Miranda Cruz, RD
• Ana M Miranda, RNFA
• Courtney Lee Miranda
• Michael E. Miskis, MSPT

• Community/Behavioral Health Agency in Beverly, MA
• Providers in Beverly, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

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