Mindful Life Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL LIFE COUNSELING, PLLC

Practice address

20 Portsmouth Avenue
Suite 1 #1070
Stratham, NH 03885

Phone

(603) 729-3373

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Lindsay Herdman, LICSW, MLADCNPI 1326438862

Title

Owner

Phone

(603) 729-3373

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Herdman, LICSW, MLADC

  • Clinical Social Worker
  • Stratham, NH
  • NPI 1326438862

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1508535675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PORTSMOUTH AVENUE",
            "address_2": "SUITE 1 #1070",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "03885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PORTSMOUTH AVENUE",
            "address_2": "SUITE 1 #1070",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "03885",
            "telephone_number": "603-729-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "HERDMAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-729-3373",
        "authorized_official_credential": "LICSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Metheny, APRN
• Janice J Michaud, CPNP
• Cassandra Anne Miller, OTR/L
• Emily Miller
• John R Minahan, CSRS I, EMT-B
• Sheila Mullen, MS PT
• Katelin Murphy, OT
• Girard Thomas Nista, DDS
• Oceanside Physical Therapy, LLC
• Camber Olsen, LICSW

• Clinical Social Worker in Stratham, NH
• Providers in Stratham, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.