NPIMap

Organization Active NPI

Mindful Motion Mental Health LLC

  • Counselor
  • Cambridge, MA
National Provider Identifier
1609626324
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MINDFUL MOTION MENTAL HEALTH LLC
Practice address
304 Allston St Apt 5
Cambridge, MA 02139-4478
Phone
(857) 300-3447
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Siyao Li, LMHCNPI 1396354502
Title
Owner
Phone
(857) 300-3447

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

304 Allston St Apt 5
Cambridge, MA 02139-4478

Mailing address

304 Allston St Apt 5
Cambridge, MA 02139-4478

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1609626324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ALLSTON ST APT 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 ALLSTON ST APT 5",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394478",
            "telephone_number": "857-300-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOTION MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SIYAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-300-3447",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.