NPIMap

Organization Active NPI

Mindful Youth

  • Counselor
  • Cincinnati, OH
National Provider Identifier
1679828073
Registry record updated Jul 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.0900032 Issued in OH
Legal business name
MINDFUL YOUTH
Practice address
1026 Delta Ave
Ste B
Cincinnati, OH 45208-3163
Phone
(513) 550-0776
NPI assigned
Jul 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2012

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

Authorized official

Name
Mr. John Orr, LPCCNPI 1861748063
Title
President
Phone
(513) 550-0776

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X E.0900032 OH Primary

Addresses

Primary practice location

1026 Delta Ave
Ste B
Cincinnati, OH 45208-3163

Mailing address

PO Box 141382
Cincinnati, OH 45250-1382

National Provider Directory

National Provider Directory

Locations

1026 Delta Ave
Ste B
Cincinnati, OH 45208
Phone (513) 321-8790

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": "1342915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342915200000",
    "number": "1679828073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141382",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452501382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 DELTA AVE",
            "address_2": "STE B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452083163",
            "telephone_number": "513-550-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-22",
        "last_updated": "2012-07-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-550-0776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0900032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2012; 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.