Active NPI
Mindful Wisdom, LLC
- Mental Health Counselor
- Beloit, WI
National Provider Identifier
1568200764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodie Hoekman, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Janesville, WI
- NPI 1073264222
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.