Organization Active NPI

Mindfully Me Therapy

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1689414088
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFULLY ME THERAPY
Practice address
1400 NW 14TH CT.
Fort Lauderdale, FL 33311
Phone
(954) 408-4026
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Mrs. Tabitha CrosnoNPI 1972334530
Title
Counselor
Phone
(954) 408-4026

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1400 NW 14TH CT.
Fort Lauderdale, FL 33311

Mailing address

1314 E Las Olas Blvd
Fort Lauderdale, FL 33301-2334
Phone (954) 408-4026

National Provider Directory

National Provider Directory

Locations

1400 NW 14th Ct
Ft Lauderdale, FL 33311
Phone (754) 321-1590

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": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1689414088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E LAS OLAS BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012334",
            "telephone_number": "954-408-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NW 14TH CT.",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33311",
            "telephone_number": "954-408-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY ME THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "CROSNO",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "954-408-4026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.