Mindful Oregon Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL OREGON CLINIC

Practice address

1915 NE Stucki Ave Ste 308
Hillsboro, OR 97006-6951

Phone

(971) 270-0116

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shirin Yekekar, LCSW

Title

Co-Founder & Ceo

Phone

(971) 270-0116

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1427887744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "971-325-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 308",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "971-270-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL OREGON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "YEKEKAR",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "CO-FOUNDER & CEO",
        "authorized_official_telephone_number": "971-270-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendela Miller, PT
• Thomas Milleson, MD
• Amber Mills
• Joseph John Milosch
• Tracy Chirstine Milton
• Mindshift Counseling and Consulting LLC
• Mackenzy Killian Mingal
• Jennifer Minnis
• Miriam Miranda-Diaz, PH.D., CSWA, LMSW
• Araceli Miranda

• Clinical Social Worker in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.