Mindability Concierge, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDABILITY CONCIERGE, LLC

Practice address

351 Pine Ridge LN
Indiana, PA 15701-8688

Phone

(724) 200-8027

NPI assigned

Feb 3, 2022

Organization subpart

No

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

Authorized official

Name

Amy Noel Rhoades, MSW, LCSW, BSN, RN

Title

C.E.O.

Phone

(724) 200-8027

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1669126199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PINE RIDGE LN",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157018688",
            "telephone_number": "724-200-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PINE RIDGE LN",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157018688",
            "telephone_number": "724-200-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDABILITY CONCIERGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "724-200-8027",
        "authorized_official_credential": "MSW, LCSW, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https",
            "affiliation": "N",
            "address_1": "351 Pine Ridge Ln",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157018688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica E Miller, PSY.D.
• Mary A Miller, CRNA
• Megan C. Miller, M.A., NCC, LPC
• Tara M Miller, MA
• John Andrew Mills, PH.D.
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• Lindsay Michelle Minich, PHARMD
• Victoria Minor
• Ashley Minster, RN
• Tahir Usman Mir, M.D.

• Clinical Social Worker in Indiana, PA
• Providers in Indiana, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.