Organization Active NPI

Mindful Path Therapy PLLC

  • Professional Counselor
  • Mount Prospect, IL
National Provider Identifier
1639815939
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL PATH THERAPY PLLC
Practice address
1803 E Wistoria CT
Mount Prospect, IL 60056-1829
Phone
(224) 423-9396
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Judith Lucas Lahlum, LCPC, CADC
Title
Owner/Manager
Phone
(847) 471-0647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1803 E Wistoria CT
Mount Prospect, IL 60056-1829

Mailing address

1803 E Wistoria CT
Mount Prospect, IL 60056-1829
Phone (224) 423-9396

National Provider Directory

National Provider Directory
Tax ID family
Mindful Path Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1639815939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E WISTORIA CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561829",
            "telephone_number": "224-423-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E WISTORIA CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561829",
            "telephone_number": "224-423-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "LUCAS LAHLUM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "847-471-0647",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.