Mind Body Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIND BODY COUNSELING LLC

Practice address

100 Riverview Ctr Ste 240
Middletown, CT 06457-3489

Phone

(860) 373-2828

NPI assigned

Feb 16, 2019

Organization subpart

No

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

Authorized official

Name

Marisa Valdiserra, LPCNPI 1598001380

Title

Owner

Phone

(860) 373-2828

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Marisa L Valdiserra, LPC

  • Professional Counselor
  • Middletown, CT
  • NPI 1598001380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1578029377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTING HILL AVE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574314",
            "telephone_number": "860-373-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVERVIEW CTR STE 240",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573489",
            "telephone_number": "860-373-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "VALDISERRA",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-373-2828",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mills, LCSW
• Marilyn Kay Mills, LCMHC
• Parker Mills, LCSW
• Mitchell Milone, DMD
• Rocio De Belen Mimbela, MS, CCC-SLP
• Mindrise Consulting LLC
• David Joseph Miner, MD
• Deirdre Minor, LCSW
• Brian Anthony Mirante, M.D.
• Jena Mitchell, FNP-C

• Professional Counselor in Middletown, CT
• Providers in Middletown, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.