Organization Active NPI

Well-Mind Therapy, LLC

  • Marriage & Family Therapist
  • Phoenixville, PA
National Provider Identifier
1497027254
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MF000572 Issued in PA
Legal business name
WELL-MIND THERAPY, LLC
Practice address
1220 Valley Forge Rd
The Commons at Valley Forge
Phoenixville, PA 19460-2676
Phone
(484) 686-4915
NPI assigned
Feb 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Mrs. Susan April Winters-Griste, LMFT
Title
Owner
Phone
(484) 686-4915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MF000572 PA Primary

Addresses

Primary practice location

1220 Valley Forge Rd
The Commons at Valley Forge
Phoenixville, PA 19460-2676

Mailing address

PO Box 93
Kimberton, PA 19442-0093
Phone (484) 686-4915

National Provider Directory

National Provider Directory

Locations

1220 Valley Forge Rd
Phoenixville, PA 19460
Phone (484) 686-4915

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1497027254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "KIMBERTON",
            "state": "PA",
            "postal_code": "194420093",
            "telephone_number": "484-686-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 VALLEY FORGE RD",
            "address_2": "THE COMMONS AT VALLEY FORGE",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602676",
            "telephone_number": "484-686-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "WINTERS-GRISTE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-686-4915",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.