Organization Active NPI

Mindful Wisdom, LLC

  • Mental Health Counselor
  • Beloit, WI
National Provider Identifier
1568200764
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL WISDOM, LLC
Practice address
1623 E Inman Pkwy Apt 5
Beloit, WI 53511-6542
Phone
(608) 299-8568
NPI assigned
Jul 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Authorized official

Name
Jodie Hoekman, LPCNPI 1073264222
Title
Owner
Phone
(608) 299-8568

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1623 E Inman Pkwy Apt 5
Beloit, WI 53511-6542

Mailing address

2811 Milton Ave # 341
Janesville, WI 53545-0252
Phone (608) 299-8568

Other names 1

  • Mindful Wisdom Therapy, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2811 Milton Ave
#341
Janesville, WI 53545

Practitioners & affiliated clinicians

Practitioners 1

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": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725148800000",
    "number": "1568200764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 MILTON AVE # 341",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450252",
            "telephone_number": "608-299-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E INMAN PKWY APT 5",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116542",
            "telephone_number": "608-299-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WISDOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "HOEKMAN",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-299-8568",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Wisdom Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.