Mindful Pathways LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL PATHWAYS LLC

Practice address

615 E Main St
Newport, VT 05855-5829

Phone

(603) 204-7377

NPI assigned

Nov 16, 2018

Organization subpart

No

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

Authorized official

Name

Maria T Crossman, LICSWNPI 1508129404

Title

Licsw/Owner

Phone

(603) 204-7377

Specialties & licenses 1

Addresses

Other names 1

• Mindful Pathways Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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

• Maria Theresia Crossman, MSW, LCSW

  • Clinical Social Worker
  • Newport, VT
  • NPI 1508129404

  VT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1669941951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E MAIN ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MAIN ST",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058555829",
            "telephone_number": "603-204-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "CROSSMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "LICSW/OWNER",
        "authorized_official_telephone_number": "603-204-7377",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camilla McKenzie
• Robert McKenzie
• MDF Geriatric Healthcare PC
• Brenna Christine Militello, PT, DPT
• Alyssa Miller
• Shawn Molina
• Janet Monette, LCMHC
• Shawn Moore
• Thomas Addis Emmet Moseley III, M.D.
• Analesa Mary Margaret Muir

• Mental Health Counselor in Newport, VT
• Providers in Newport, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.