Mindfulness, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

78769 Issued in WV

Legal business name

MINDFULNESS, LLC

Practice address

210 2ND St
Saint Marys, WV 26170-1097

Phone

(740) 371-0238

NPI assigned

May 15, 2018

Organization subpart

No

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

Authorized official

Name

Osric A Malone-Prioleau, APRN, CRC

Title

Owner

Phone

(304) 699-1419

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1477043552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 2ND ST",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261701097",
            "telephone_number": "740-371-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "MALONE-PRIOLEAU",
        "authorized_official_first_name": "OSRIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-699-1419",
        "authorized_official_credential": "APRN, CRC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "78769",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "78769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932416179",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023137",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Marie Meanor
• Anna Meloche, DSP
• Leslie Metheney, OC
• Nicole Miller, LMT
• Selena Miller
• Holly Dawn Moore, RN
• Kendal Neill, NP
• Abigail Faith Peckens
• Janet Sue Peckens
• Stacy Peckens

• Psychiatric/Mental Health Nurse Practitioner in Saint Marys, WV
• Providers in Saint Marys, WV by specialty
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.