Mindful Counseling LLC

Primary specialty

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

Legal business name

MINDFUL COUNSELING LLC

Practice address

614 Pennsylvania Ave
Elizabeth, NJ 07201-1265

Phone

(908) 355-7859

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

Suzelle Marques, LPC

Title

Owner/LPC

Phone

(908) 355-7859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1669033627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 PENNSYLVANIA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072011265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 PENNSYLVANIA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072011265",
            "telephone_number": "908-355-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "MARQUES",
        "authorized_official_first_name": "SUZELLE",
        "authorized_official_title_or_position": "OWNER/LPC",
        "authorized_official_telephone_number": "908-355-7859",
        "authorized_official_credential": "LPC"
    },
    "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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• Mental Health Clinic/Center (Including Community Mental Health Center) in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.