Mindshift Counseling and Consulting

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSHIFT COUNSELING AND CONSULTING

Doing business as

MindShift Counseling and Consulting

Practice address

1468 Brice Rd # A2
Reynoldsburg, OH 43068-3405

Phone

(740) 824-0334

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By 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

Ms. Marian Stuckey, LISW-SNPI 1376990697

Title

Owner/ Lead Therapist

Phone

(740) 824-0334

Specialties & licenses 1

Addresses

Other names 1

• MindShift Counseling and Consulting Doing business as

Locations

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.

• Marian Grace Stuckey, MSW LSW

  • Clinical Social Worker
  • Dublin, OH
  • NPI 1376990697
  NPD Authorized official

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1396492971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S SANDUSKY ST STE 406",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430152621",
            "telephone_number": "740-824-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 BRICE RD # A2",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683405",
            "telephone_number": "740-824-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSHIFT COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER/ LEAD THERAPIST",
        "authorized_official_telephone_number": "740-824-0334",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindShift Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Renee Miller, CDCA
• Tyiesha Mills-Bingham, LPN
• Janssen Milord, LPN
• Valerie Milord
• Bianell Minaya
• Janet Joann Minger, LPN
• Rosie Mishikabo
• Netra Mishra
• Rachael Mitchell, MT
• Tameca Mitchell

• Clinical Social Worker in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.