Organization Active NPI

Mindful Living Counseling & Consulting LLC

  • Mental Health Counselor
  • Carmel, NY
National Provider Identifier
1497320485
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL LIVING COUNSELING & CONSULTING LLC
Practice address
1705 Nutmeg Dr
Carmel, NY 10512-2603
Phone
(914) 414-4497
NPI assigned
May 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2021

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

Authorized official

Name
Mrs. Amanda Ashley Vacca, LMHCNPI 1760912216
Title
Proprietor
Phone
(914) 414-4497

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1705 Nutmeg Dr
Carmel, NY 10512-2603

Mailing address

1705 Nutmeg Dr
Carmel, NY 10512-2603
Phone (914) 414-4497

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Other names 1

  • Amanda A Vacca LMHC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1621728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621728000000",
    "number": "1497320485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 NUTMEG DR",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122603",
            "telephone_number": "914-414-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 NUTMEG DR",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122603",
            "telephone_number": "914-414-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIVING COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-05-23",
        "certification_date": "2021-05-23",
        "status": "A",
        "authorized_official_last_name": "VACCA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "914-414-4497",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda A Vacca LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; 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.