Mindset Transformations, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDSET TRANSFORMATIONS, LLC

Practice address

11225 Front St Ste 12
Mokena, IL 60448-1303

Phone

(708) 537-7332

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Hammond, CRADCNPI 1609230572

Title

Ceo

Phone

(708) 537-7332

Specialties & licenses 1

Addresses

Tax ID family

Mindset Transformations LLC2 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.

• Mindset Transformations, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mokena, IL
  • NPI 1689299497
  NPD tax ID

Locations

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.

• Valerie Hammond, M.A.C.P, CRADC

  • Addiction (Substance Use Disorder) Counselor
  • East Hazel Crest, IL
  • NPI 1609230572
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1649983412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 FRONT ST STE 12",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481303",
            "telephone_number": "708-537-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 FRONT ST STE 12",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481303",
            "telephone_number": "708-537-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-537-7332",
        "authorized_official_credential": "CRADC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Minuteclinic Video Virtual Care North, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mokena, IL
• Providers in Mokena, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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

Verify at the official NPI Registry.