Active NPI
Nurtured Minds LCSW, PLLC
- Clinical Social Worker
- Peru, NY
National Provider Identifier
1538029855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- NURTURED MINDS LCSW, PLLC
- Practice address
- 686 Bear Swamp Rd
Peru, NY 12972-4804 - Phone
- (518) 578-1961
- NPI assigned
- Nov 18, 2025
- Last updated
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Mitchell, LCSW
- Title
- LCSW
- Phone
- (518) 595-8168
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
686 Bear Swamp Rd
Peru, NY 12972-4804
Mailing address
PO Box 260
Peru, NY 12972-0260
Phone (518) 595-8168
National Provider Directory
National Provider DirectoryLocations
686 Bear Swamp Rd
Peru, NY 12972
Phone (518) 394-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Peru, NY
- NPI 1982328894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763424000000",
"number": "1538029855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"city": "PERU",
"state": "NY",
"postal_code": "129720260",
"telephone_number": "518-595-8168",
"fax_number": "518-595-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 BEAR SWAMP RD",
"city": "PERU",
"state": "NY",
"postal_code": "129724804",
"telephone_number": "518-578-1961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURTURED MINDS LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-18",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "518-595-8168",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peru, NY
- Cherish A Moore, RN
- Kristina Moquin, MS, NCC, LMHC
- Linda Morgan, M.A.CCC-SLP
- Lorraine Ragudo Nazario-Torres, PT
- Geana M Nephew
- Christina Lee Perry, RN
- Peru Central School District
- Peru Family Medicine, PLLC (Peru Family Healthcare)
- Peru Pharmacy Inc. (Peru Healthmart Pharmacy)
- Alison Rosenbaum, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.