Mindful Path PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL PATH PLLC

Practice address

125 W Granite St
Butte, MT 59701-9215

Phone

(406) 570-1752

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Mitchell, LCSWNPI 1851129878

Title

Owner, Managing -Member

Phone

(406) 570-1752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Mitchell, LCSW

  • Clinical Social Worker
  • Butte, MT
  • NPI 1851129878
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1558199570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597030001",
            "telephone_number": "406-570-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W GRANITE ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019215",
            "telephone_number": "406-570-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER, MANAGING -MEMBER",
        "authorized_official_telephone_number": "406-570-1752",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mihailovich Family Dentistry LLC
• Corey Andrew Mihailovich, D.M.D.
• Danielle Rheann Miller, PTA
• Michelle J Miller, LCSW
• Mindful Development
• Mining City Compounding Pharmacy
• Mining City Compounding Pharmacy LLC
• Mining City Lab Services
• Mining City Taxi
• Jennifer Marie Miranda, PHARM D.

• Clinical Social Worker in Butte, MT
• Providers in Butte, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.