Open Mind Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OPEN MIND COUNSELING, LLC

Practice address

100 W 3Rd St Ste 304
Owensboro, KY 42303-4129

Phone

(812) 719-4633

NPI assigned

Jul 15, 2019

Organization subpart

No

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

Authorized official

Name

Stephanie M Decker, LCSW

Title

Mental Health Counselor/ Owner

Phone

(812) 719-4633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1669024188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST STE 304",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034129",
            "telephone_number": "812-719-4633",
            "fax_number": "270-698-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST STE 304",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034129",
            "telephone_number": "812-719-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MIND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/ OWNER",
        "authorized_official_telephone_number": "812-719-4633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.