Organization Active NPI

Miracles of the Mind, LLC

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1407103641
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIRACLES OF THE MIND, LLC
Practice address
811 Church Rd
Suite 137
Cherry Hill, NJ 08002-1412
Phone
(856) 904-3525
NPI assigned
Aug 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Valerie TravisNPI 1700901618
Title
President/Ceo
Phone
(856) 904-3525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

811 Church Rd
Suite 137
Cherry Hill, NJ 08002-1412

Mailing address

811 Church Rd
Suite 137
Cherry Hill, NJ 08002-1412
Phone (856) 904-3525

National Provider Directory

National Provider Directory

Locations

811 Church Rd
Ste 137
Cherry Hill, NJ 08002
Phone (856) 904-3525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1407103641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD",
            "address_2": "SUITE 137",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021412",
            "telephone_number": "856-904-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD",
            "address_2": "SUITE 137",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021412",
            "telephone_number": "856-904-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES OF THE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "856-904-3525"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.