Cedar Park Mindfulness Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CEDAR PARK MINDFULNESS COUNSELING

Practice address

3016 Polar LN Ste 407
Cedar Park, TX 78613-3050

Phone

(512) 309-1718

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By 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

Micah Jaksik, LPCNPI 1043669757

Title

Owner

Phone

(830) 456-4101

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, and the practitioner matching its NPPES authorized official.

• Micah Jaksik, LPC

  • Professional Counselor
  • Cedar Park, TX
  • NPI 1043669757
  NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1659911154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050",
            "telephone_number": "512-309-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK MINDFULNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "JAKSIK",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-456-4101",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Park Eye Care PA
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• Cedar Park Family Practice, P.a.
• Cedar Park Health System LLC (Ascension Seton Cedar Park)
• Cedar Park Health Systems LP (Cedar Park Regional Medical Center Occupational Medicine Clinic)
• Cedar Park Modern Dentistry, PC (Cedar Park Modern Dentistry)
• Cedar Park Oncology Clinic
• Cedar Park Pediatric and Family Medicine
• Cedar Park Pediatric Dentistry
• Cedar Park Periodontics, PC

• Adult Mental Health Clinic/Center in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Adult Mental Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.