Mindful Emotions Counseling, LLC

Primary specialty

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

Legal business name

MINDFUL EMOTIONS COUNSELING, LLC

Practice address

6339A Constitution Dr
Fort Wayne, IN 46804-1547

Phone

(260) 222-8562

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Shannon Walters-Harvey, LMHCNPI 1649543729

Title

Mental Health Provider

Phone

(260) 222-8562

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shannon Walters-Harvey

  • Counselor
  • Fort Wayne, IN
  • NPI 1649543729
  NPD Authorized official

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1659155943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13222 TREMONT CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468140007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339A CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041547",
            "telephone_number": "260-222-8562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13222 Tremont Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468140007",
            "country_code": "US",
            "telephone_number": "260-222-8562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL EMOTIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "WALTERS-HARVEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "260-222-8562",
        "authorized_official_credential": "LMHC"
    },
    "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": []
}

• Joseph Edward Milnar Sr., PTA
• Rosie T Milner, NP
• Sherrell Denise Mims-Baker, RN
• Abbie Lois Mincks, MD
• Mind Over Matter M O M Cleaning Services LLC
• Mindy Tiburcio LLC
• Nathan Reig Miner, PMHNP
• Robert W Miner, M.D.
• Sarah E. Miner, AUD
• Laura Anne Minich, MS, CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.