Mindwise

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0012146 Issued in CO

Legal business name

MINDWISE

Practice address

918 13TH St
#5
Greeley, CO 80631-4667

Phone

(970) 396-7974

NPI assigned

Jul 10, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Amy H Grauberger, MA LPC

Title

Owner/Counselor

Phone

(970) 396-7974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1689058430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 981",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805340981",
            "telephone_number": "970-396-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 13TH ST",
            "address_2": "#5",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314667",
            "telephone_number": "970-396-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "GRAUBERGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "970-396-7974",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0012146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Greeley, CO
• Providers in Greeley, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.