Mindful Monarch Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MONARCH COUNSELING LLC

Practice address

1413 S Patrick Dr Ste 4
Satellite Beach, FL 32937-4344

Phone

(321) 482-4188

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Michelle BoylesNPI 1952643801

Title

Owner

Phone

(321) 482-4188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Boyles

  • Clinical Social Worker
  • Satellite Beach, FL
  • NPI 1952643801
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1649862095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S PATRICK DR STE 4",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329374344",
            "telephone_number": "772-494-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S PATRICK DR STE 4",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329374344",
            "telephone_number": "321-482-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MONARCH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-482-4188"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah McCaffery
• Patrick J McFadden, LMT
• Christina McKinley
• Amber Nicole Meade, PTA
• Robin Z Miller
• Mindholisticllc
• Abdol A Mirsajadi, M.D.
• Elaine L Muirhead, PHARM.D.
• Kristen S Murphy, ARNP
• Lauren Jordan Myers, LCSW

• Clinical Social Worker in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.