Mindful Innovations Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P-1477967-8 Issued in AZ

Legal business name

MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC

Practice address

8527 Ivory Crest Dr
Converse, TX 78109-3288

Phone

(210) 788-2762

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Guillermo Rodriguez

Title

Owner/Director

Phone

(210) 788-2762

Specialties & licenses 2

Addresses

Other names 1

• Mindful Innovations Counseling Services Doing business as

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1487892303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 IVORY CREST DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093288",
            "telephone_number": "210-788-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 IVORY CREST DR",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093288",
            "telephone_number": "210-788-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "210-788-2762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "P-1477967-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Innovations Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mendcare Wellness & Medspa
• Yuneidys Mendoza Gutierrez, NURSE PRACTITIONER
• Robert Phillip Meyer, FNP-C
• Joseph Vincent Miller, P.T.A
• Valerie T Miller, FNP
• Richard Scott Minor
• Cassandra Denese Mitchell
• Ryan K Mixon
• Courtney Moe, RPH
• Ramiro Molina Jr.

• Mental Health Counselor in Converse, TX
• Providers in Converse, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.