Mindful Wellness Counseling Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL WELLNESS COUNSELING GROUP

Practice address

900 Ridge Rd Ste 1SW
Homewood, IL 60430-1934

Phone

(708) 637-1672

Fax

(708) 637-1633

NPI assigned

Nov 7, 2024

Organization subpart

Yes

Parent organization

MINDFUL WELLNESS COUNSELINGAs reported in NPPES

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

Authorized official

Name

Mrs. Sekai Northern

Title

Credentialing Specialist

Phone

(772) 453-1896

Specialties & licenses 1

Addresses

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mindful Wellness Counseling

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1225695299
  NPPES parent name

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1558184465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301934",
            "telephone_number": "708-637-1672",
            "fax_number": "708-637-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301934",
            "telephone_number": "708-637-1672",
            "fax_number": "708-637-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS COUNSELING GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL WELLNESS COUNSELING",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "NORTHERN",
        "authorized_official_first_name": "SEKAI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "772-453-1896",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheree N Miller
• Stacie Danielle Miller
• Ruth Ann Mills, CHIROPRACTOR
• Mary Mims
• Mindful Wellness Counseling
• Minds Empowered Counseling
• Minds Empowered Counseling Services LLC
• Rachel Cortney Minkel
• Josephine Minnicino, MD
• Miracle Healthcare LLC

• Clinical Social Worker in Homewood, IL
• Providers in Homewood, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.