Organization Active NPI

Mindset Transformations, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mokena, IL
National Provider Identifier
1689299497
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MINDSET TRANSFORMATIONS, LLC
Practice address
11225 Front St Ste 16
Mokena, IL 60448-1303
Phone
(708) 537-7332
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Valerie Hammond, MACP, CRADC, SAPNPI 1609230572
Title
Ceo
Phone
(708) 537-7332

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

11225 Front St Ste 16
Mokena, IL 60448-1303

Mailing address

11225 Front St Ste 16
Mokena, IL 60448-1303
Phone (708) 537-7332

National Provider Directory

National Provider Directory
Tax ID family
Mindset Transformations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11225 Front St
Ste 16
Mokena, IL 60448
Phone (708) 537-7332

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1689299497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 FRONT ST STE 16",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481303",
            "telephone_number": "708-537-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 FRONT ST STE 16",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481303",
            "telephone_number": "708-537-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-537-7332",
        "authorized_official_credential": "MACP, CRADC, SAP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.