Mindful, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149009504 Issued in IL

Legal business name

MINDFUL, INC.

Practice address

715 Lake St
Suite 310
Oak Park, IL 60301-1422

Phone

(773) 909-9328

Fax

(773) 751-2250

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Lisa Schmitz, LCSWNPI 1023197407

Title

President

Phone

(773) 909-9328

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sara Lisa Schmitz, LCSW

  • Mental Health Counselor
  • Oak Park, IL
  • NPI 1023197407
  NPD Authorized official
• Vincent Murphy, L.C.S.W, C.A.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Oak Park, IL
  • NPI 1467598409

  Clinical

  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1578816278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "SUITE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "773-909-9328",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST",
            "address_2": "SUITE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011422",
            "telephone_number": "773-909-9328",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-909-9328",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149009504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Minando
• Mind Balance, Inc
• Mind on Wellness
• Mindful Consultation Inc.
• Mindful Wellness Collective, LLC (Mindful Motion Physical Therapy)
• Minuteclinic Diagnostic of Illinois PLLC
• Rachel N Minzner, M.A.F.P.
• Sara Diana Miranda, DNP
• Atreya Mishra
• Ruchica Mishra

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.