Active NPI
Mind Over Matter Counseling, LLC
- Professional Counselor
- Beecher, IL
National Provider Identifier
1639816820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND OVER MATTER COUNSELING, LLC
- Practice address
- 27240 Dutton Rd
Beecher, IL 60401 - Phone
- (219) 384-5357
- NPI assigned
- May 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mindy Eastling, LCPC
- Title
- Owner
- Phone
- (219) 384-5357
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
27240 Dutton Rd
Beecher, IL 60401
Mailing address
27240 Dutton Rd
Beecher, IL 60401
Phone (219) 384-5357
National Provider Directory
National Provider DirectoryPractitioners & 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": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656288000000",
"number": "1639816820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27240 DUTTON RD",
"city": "BEECHER",
"state": "IL",
"postal_code": "60401",
"telephone_number": "219-384-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 DUTTON RD",
"city": "BEECHER",
"state": "IL",
"postal_code": "60401",
"telephone_number": "219-384-5357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND OVER MATTER COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A",
"authorized_official_last_name": "EASTLING",
"authorized_official_first_name": "MINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-384-5357",
"authorized_official_credential": "LCPC"
},
"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 Beecher, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.