Organization Active NPI

Mindwise Corporation

  • Marriage & Family Therapist
  • New Castle, CO
National Provider Identifier
1619403631
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT.0001316 Issued in CO
Legal business name
MINDWISE CORPORATION
Practice address
386 W Main Street
Suite 105
New Castle, CO 81647
Phone
(970) 319-1999
Fax
(970) 319-1999
NPI assigned
May 11, 2017
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Mary Elizabeth Bowles, LMFT, RRT, MIACNNPI 1760788822
Title
President, Therapist
Phone
(970) 319-1999

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFT.0001316 CO Primary

Addresses

Primary practice location

386 W Main Street
Suite 105
New Castle, CO 81647

Mailing address

PO Box 556
New Castle, CO 81647-0556
Phone (970) 319-1999

Other names 1

  • MindWise Institute Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1619403631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "816470556",
            "telephone_number": "970-319-1999",
            "fax_number": "970-550-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W MAIN STREET",
            "address_2": "SUITE 105",
            "city": "NEW CASTLE",
            "state": "CO",
            "postal_code": "81647",
            "telephone_number": "970-319-1999",
            "fax_number": "970-319-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWISE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT, THERAPIST",
        "authorized_official_telephone_number": "970-319-1999",
        "authorized_official_credential": "LMFT, RRT, MIACN"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT.0001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindWise Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Castle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.