Organization Active NPI

Heart & Mind, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1639506504
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008704 Issued in IL
Legal business name
HEART & MIND, LLC
Practice address
3147 W Logan Blvd
Suite 5W
Chicago, IL 60647-1613
Phone
(413) 204-1985
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Mrs. Amanda Christine Malloni, LCPCNPI 1366882375
Title
Counselor
Phone
(413) 204-1985

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
Professional Counselor 101YP2500X 180008704 IL Primary

Addresses

Primary practice location

3147 W Logan Blvd
Suite 5W
Chicago, IL 60647-1613

Mailing address

3003 N Albany Ave
Chicago, IL 60618-6911
Phone (413) 204-1985

National Provider Directory

National Provider Directory

Locations

3147 W Logan Blvd
Ste 5W
Chicago, IL 60647
Phone (413) 204-1985

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": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1639506504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N ALBANY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186911",
            "telephone_number": "413-204-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 W LOGAN BLVD",
            "address_2": "SUITE 5W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471613",
            "telephone_number": "413-204-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "MALLONI",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "413-204-1985",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.