Mindset Matters

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSET MATTERS

Practice address

5548 Heidi Dr
Rockford, IL 61109-7537

Phone

(815) 621-3726

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Cynthia Brush, LCSW

Title

Owner

Phone

(815) 621-3726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1407443567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 HEIDI DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611097537",
            "telephone_number": "815-621-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 HEIDI DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611097537",
            "telephone_number": "815-621-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET MATTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-621-3726",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milos Dental Care
• Jamie Lynn Milos, D.D.S.
• Steven Milos, M.D.
• Mimi Medical Supply LLC
• Mindplexity Psychiatric Services, PLLC
• Lynette Ann Mindt, NP
• Patrina Celeste Minella, PEL ILLINOIS SLP
• Patricia L Miner, NP
• Terry L Minnick, LCPC
• Francis Joseph Minor

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.