Organization Active NPI

Mindset Wellness LLP

  • Professional Counselor
  • Coeur D Alene, ID
National Provider Identifier
1669254223
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDSET WELLNESS LLP
Practice address
1022 N 4TH St Ste 101
Coeur D Alene, ID 83814-3100
Phone
(208) 704-2062
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Mr. John NelmarNPI 1548783293
Title
Owner
Phone
(208) 704-2062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1022 N 4TH St Ste 101
Coeur D Alene, ID 83814-3100

Mailing address

1022 N 4TH St Ste 101
Coeur D Alene, ID 83814-3100
Phone (208) 704-2062

National Provider Directory

National Provider Directory

Locations

1022 N 4th St
Ste 101
Coeur D Alene, ID 83814
Phone (208) 457-2909

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1669254223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N 4TH ST STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143100",
            "telephone_number": "208-704-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N 4TH ST STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143100",
            "telephone_number": "208-704-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET WELLNESS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "NELMAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-704-2062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.