Active NPI
Mindset Studio LLC
- Clinical Social Worker
- Appleton, WI
National Provider Identifier
1578477220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDSET STUDIO LLC
- Practice address
- 2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889 - Phone
- (781) 718-3956
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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
- Timothy Coughlin, LCSW
- Title
- Owner
- Phone
- (781) 718-3956
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
Mailing address
2800 E Enterprise Ave Ste 333
Appleton, WI 54913-7889
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Appleton, WI
- NPI 1184591398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1578477220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E ENTERPRISE AVE STE 333",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E ENTERPRISE AVE STE 333",
"city": "APPLETON",
"state": "WI",
"postal_code": "549137889",
"telephone_number": "781-718-3956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDSET STUDIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "COUGHLIN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-718-3956",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
- Milwaukee Health Services System, LLC (Appleton Comprehensive Treatment Center)
- Milwaukee Health Services System, LLC (Appleton Comprehensive Treatment Center)
- Milwaukee Vamc
- Milwaukee Vamc
- Mindful Living Counseling, LLC
- Meha Minhas, M.D.
- Jennifer Minor, M.D.
- Jay Michael Minorik, MD
- Maureen Christine Minot, PHARMD
- Alex Minten, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.