Organization Active NPI

Mindful Transitions, LLC

  • Professional Counselor
  • Frankfort, IL
National Provider Identifier
1467227876
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL TRANSITIONS, LLC
Practice address
10413 Brookridge Creek Dr
Frankfort, IL 60423-8089
Phone
(123) 974-5528
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Kerry Marie Hampton, LCPCNPI 1194309740
Title
LCPC
Phone
(239) 745-5285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

10413 Brookridge Creek Dr
Frankfort, IL 60423-8089

Mailing address

10413 Brookridge Creek Dr
Frankfort, IL 60423-8089
Phone (123) 974-5528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329001010 IL Part B Supplier - Clinic/Group Practice 4688012412 Receives reassigned benefits from 1 practitioner
Practice locations: Homer Glen, IL

National Provider Directory

National Provider Directory

Locations

13161 W 143rd St
Ste 202
Homer Glen, IL 60491
Phone (239) 745-5285

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1467227876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10413 BROOKRIDGE CREEK DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238089",
            "telephone_number": "123-974-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10413 BROOKRIDGE CREEK DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238089",
            "telephone_number": "123-974-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL TRANSITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "239-745-5285",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.