Mindful Abundance Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MINDFUL ABUNDANCE COUNSELING LLC

Practice address

110 Ararat St
Worcester, MA 01606-2623

Phone

(508) 494-1939

Fax

(508) 552-9459

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel Albeiro Clavijo, LMHC

Title

Director

Phone

(508) 494-1939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1528811460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ARARAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062623",
            "telephone_number": "508-494-1939",
            "fax_number": "508-552-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ARARAT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062623",
            "telephone_number": "508-494-1939",
            "fax_number": "508-552-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL ABUNDANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CLAVIJO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ALBEIRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-494-1939",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan C Min, M.D.
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• Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.