Organization Active NPI

Nurtured Minds LCSW, PLLC

  • Clinical Social Worker
  • Peru, NY
National Provider Identifier
1538029855
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Kristen Mitchell, LCSWNPI 1982328894
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.