Active NPI
Mindful Reflections PLLC
- Professional Counselor
- Surprise, AZ
National Provider Identifier
1467291328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MINDFUL REFLECTIONS PLLC
- Practice address
- 15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104 - Phone
- (623) 521-3871
- NPI assigned
- May 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Green, LPC
- Title
- Ceo
- Phone
- (623) 521-3871
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
15331 W Bell Rd Ste 212
Surprise, AZ 85374-4104
Mailing address
15331 W Bell Rd Ste 212-80
Surprise, AZ 85374-4102
Phone (623) 521-3871
National Provider Directory
National Provider DirectoryLocations
15331 W Bell Rd
Ste 21280
Surprise, AZ 85374
Phone (623) 217-6658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1467291328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15331 W BELL RD STE 212-80",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744102",
"telephone_number": "623-521-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15331 W BELL RD STE 212",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853744104",
"telephone_number": "623-521-3871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL REFLECTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "623-521-3871",
"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": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.