Organization Active NPI

Mindful Healing Counseling Services

  • Clinical Social Worker
  • Uxbridge, MA
National Provider Identifier
1386496990
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL HEALING COUNSELING SERVICES
Practice address
2 S Main St Ste 203
Uxbridge, MA 01569-1870
Phone
(508) 389-3627
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Jessica Bisiak, MSW, LICSW
Title
Owner / Clinical Therapist
Phone
(508) 389-3627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2 S Main St Ste 203
Uxbridge, MA 01569-1870

Mailing address

2 S Main St Ste 203
Uxbridge, MA 01569-1870

National Provider Directory

National Provider Directory

Locations

2 S Main St
Ste 203
Uxbridge, MA 01569
Phone (508) 389-3627

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1386496990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 203",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST STE 203",
            "city": "UXBRIDGE",
            "state": "MA",
            "postal_code": "015691870",
            "telephone_number": "508-389-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "BISIAK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER / CLINICAL THERAPIST",
        "authorized_official_telephone_number": "508-389-3627",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uxbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.