NPIMap

Organization Active NPI

Mindful Life LLC

  • Mental Health Counselor
  • Butler, PA
National Provider Identifier
1609409325
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL LIFE LLC
Practice address
371 N Main St
Butler, PA 16001-4955
Phone
(724) 355-1111
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Melissa Dawn Geibel-McKee, L.S.W.NPI 1629152947
Title
Owner/ Therapist
Phone
(724) 355-1111

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

371 N Main St
Butler, PA 16001-4955

Mailing address

921 Clearfield Rd
Fenelton, PA 16034-9701
Phone (724) 355-1111

Other practice location 1

218 E Main St Ste 1
Worthington, PA 16262-2146
Phone (724) 355-1111 ext. 72435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511001166 PA Part B Supplier - Clinic/Group Practice 0749667863 Receives reassigned benefits from 8 practitioners
Practice locations: Butler, PA; Worthington, PA

National Provider Directory

National Provider Directory

Locations

371 N Main St
Butler, PA 16001
Phone (724) 355-1111

218 E Main St
Ste 1
Worthington, PA 16262
Phone (724) 355-1111

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1609409325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CLEARFIELD RD",
            "city": "FENELTON",
            "state": "PA",
            "postal_code": "160349701",
            "telephone_number": "724-355-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014955",
            "telephone_number": "724-355-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "PA",
            "postal_code": "162622146",
            "country_code": "US",
            "telephone_number": "724-355-1111 x72435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "GEIBEL-MCKEE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "724-355-1111",
        "authorized_official_credential": "L.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.