Organization Active NPI

Mindful Journey Counseling, LLC

  • Clinical Social Worker
  • Unionville, CT
National Provider Identifier
1396269205
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008752 Issued in CT
Legal business name
MINDFUL JOURNEY COUNSELING, LLC
Practice address
1686 Farmington Ave Ste 201
Unionville, CT 06085-1279
Phone
(860) 302-5427
NPI assigned
Aug 1, 2017
Last updated
Aug 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Mrs. Maryjeanne Francis Chichester, LCSWNPI 1013161207
Title
Owner
Phone
(860) 302-5427

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 Worker 1041C0700X 008752 CT Primary

Addresses

Primary practice location

1686 Farmington Ave Ste 201
Unionville, CT 06085-1279

Mailing address

1686 Farmington Ave Ste 201
Unionville, CT 06085-1279
Phone (860) 302-5427

National Provider Directory

National Provider Directory

Locations

1686 Farmington Ave
Ste 201
Unionville, CT 06085
Phone (631) 680-0681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1396269205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 FARMINGTON AVE STE 201",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851279",
            "telephone_number": "860-302-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1686 FARMINGTON AVE STE 201",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851279",
            "telephone_number": "860-302-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL JOURNEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "CHICHESTER",
        "authorized_official_first_name": "MARYJEANNE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-302-5427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.