NPIMap

Organization Active NPI

Mindset Counseling Solutions

  • Professional Counselor
  • Melbourne, FL
National Provider Identifier
1538637293
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDSET COUNSELING SOLUTIONS
Practice address
3270 Suntree Blvd Ste 102C
Melbourne, FL 32940-7544
Phone
(321) 593-0759
NPI assigned
Nov 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Authorized official

Name
Amanda C. Mattick, MA, LMHC, CAPNPI 1376909796
Title
Owner
Phone
(772) 475-6545

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

3270 Suntree Blvd Ste 102C
Melbourne, FL 32940-7544

Mailing address

3270 Suntree Blvd Ste 102C
Melbourne, FL 32940-7544
Phone (321) 593-0759

National Provider Directory

National Provider Directory

Locations

3270 Suntree Blvd
Ste 102C
Melbourne, FL 32940
Phone (320) 593-0759

Practitioners & affiliated clinicians

Practitioners 2

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": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1538637293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 102C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407544",
            "telephone_number": "321-593-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 102C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407544",
            "telephone_number": "321-593-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "MATTICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-475-6545",
        "authorized_official_credential": "MA, LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.