Mindscape Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDSCAPE WELLNESS LLC

Practice address

4545 N 36TH St Ste 117
Phoenix, AZ 85018-3473

Phone

(602) 509-5771

NPI assigned

Aug 27, 2020

Organization subpart

No

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

Authorized official

Name

Margaret Beresford, LPCNPI 1003326638

Title

LPC/Owner

Phone

(602) 509-5771

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Margaret Ann Beresford, MC, ATR-BC, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1003326638
  NPD Authorized official

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

{
    "created_epoch": "1598486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1447863683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "602-509-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 36TH ST STE 117",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183473",
            "telephone_number": "602-509-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSCAPE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-27",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BERESFORD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "602-509-5771",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.