Body Mind Soul LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1538351150 Issued in MI

Legal business name

BODY MIND SOUL LLC

Practice address

5985 West Main Street
814
Kalamazoo, MI 49009

Phone

(269) 615-8639

NPI assigned

Jul 31, 2014

Organization subpart

No

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

Authorized official

Name

Patricia A Jorgenson, LMSW

Title

Owner/Therapist

Phone

(269) 615-8639

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1588072763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 20056",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49019",
            "telephone_number": "269-615-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 WEST MAIN STREET",
            "address_2": "814",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49009",
            "telephone_number": "269-615-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY MIND SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "269-615-8639",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1538351150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Bodine, MM, MT-BC
• Kristen Bodine, BCBA
• Karter D Bodnovich, DO
• Body Center Kalamazoo (The Body Center.us)
• Body Centered Psychotherapeutics PLLC
• Stacy Elizabeth Boeberitz, BT, BA
• Susan Marie Boehme, OTR/L
• Jane Boekeloo, PT
• Michelle Boerigter, MD
• Boesky Chiropractic PLC

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.