Organization Active NPI

A Mindful Talk Health Services LCSW, PLLC

  • Community/Behavioral Health Agency
  • North Lynbrook, NY
National Provider Identifier
1679235527
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
A MINDFUL TALK HEALTH SERVICES LCSW, PLLC
Practice address
7 Franklin Avenue
North Lynbrook, NY 11563
Phone
(347) 746-3708
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Ana Roldan-Marsh, LCSW
Title
Owner
Phone
(347) 746-3708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7 Franklin Avenue
North Lynbrook, NY 11563

Mailing address

32A Franklin Ave
North Lynbrook, NY 11563-1227
Phone (347) 746-3708

Other practice location 1

32A Franklin Ave
Lynbrook, NY 11563-1227
Phone (347) 746-3708

Other identifiers 1

IdentifierTypeStateIssuer
1184389488OtherNYINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230818002722 NY Part B Supplier - Clinic/Group Practice 3577925700 Receives reassigned benefits from 2 practitioners
Practice locations: Lynbrook, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679235527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32A FRANKLIN AVE",
            "city": "NORTH LYNBROOK",
            "state": "NY",
            "postal_code": "115631227",
            "telephone_number": "347-746-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FRANKLIN AVENUE",
            "city": "NORTH LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "347-746-3708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32A Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115631227",
            "country_code": "US",
            "telephone_number": "347-746-3708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A MINDFUL TALK HEALTH SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROLDAN-MARSH",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-746-3708",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1184389488",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.