Mind Body Wellness Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09923849 Issued in CO

Legal business name

MIND BODY WELLNESS COUNSELING

Practice address

2821 S Parker Rd Ste 405
Aurora, CO 80014-2748

Phone

(720) 372-3644

NPI assigned

Sep 12, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Marconi, LCSWNPI 1942583802

Title

Owner

Phone

(720) 883-4842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Amanda Elizabeth Marconi, LCSW

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1942583802
  NPD Authorized official

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1437607157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S CHERRY ST APT 5-205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S PARKER RD STE 405",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142748",
            "telephone_number": "720-372-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MARCONI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-883-4842",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09923849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80537031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Kay Millsap, MED
• Dallin Clark Milner, MD
• Metodi Milushev, D.M.D.
• Mina Home Care, Inc
• Mina Home Care, Inc
• Mindshine Counseling, PLLC
• Kylee Renee Miner, AA, APP
• Rachel Miner, MS, LMFT
• Andrew Ming, M.D.
• Christina Minggia

• Clinical Social Worker in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.