Mind & Body Counseling Solutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIND & BODY COUNSELING SOLUTIONS

Practice address

5815 Market St Ste 5a
Boardman, OH 44512-2915

Phone

(330) 781-5078

NPI assigned

Mar 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jacob M Telego, LPCC-SNPI 1154712693

Title

Psychotherapist/Ceo

Phone

(330) 397-8001

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Jacob Telego

  • Professional Counselor
  • Boardman, OH
  • NPI 1154712693
  NPD Authorized official

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1437617016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 MARKET ST STE 5A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122915",
            "telephone_number": "330-781-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 MARKET ST STE 5A",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122915",
            "telephone_number": "330-781-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 N Lima Rd Apt 5",
            "address_purpose": "LOCATION",
            "city": "Poland",
            "state": "OH",
            "postal_code": "445143235",
            "country_code": "US",
            "telephone_number": "330-397-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Fairlawn Ave",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445121561",
            "country_code": "US",
            "telephone_number": "330-397-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & BODY COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "TELEGO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/CEO",
        "authorized_official_telephone_number": "330-397-8001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215964",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Miletta
• Latreese Marshunn Miller
• Sara Kelly Miller, RN
• Margo Milliron, AU.D.
• Igor Milosevic, M.D.
• Mindful Connection Institute LLC
• Mindful Connections Counseling, LLC
• Benjamin Miner
• Matthew Stephen Miner, CDCA
• Asmau N Misawa, MD

• Mental Health Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.