Mind Medic Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MIND MEDIC COUNSELING PLLC

Practice address

1415 Edgerton Drive
Joliet, IL 60435

Phone

(815) 630-7878

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

McKenzie Mieszkowski, LCPCNPI 1396457735

Title

Owner

Phone

(815) 630-7878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McKenzie Mieszkowski, LCPC, CADC

  • Mental Health Counselor
  • Coal City, IL
  • NPI 1396457735
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1689421273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 ESSINGTON RD",
            "address_2": "SUITE B #1037",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351204",
            "telephone_number": "815-630-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 EDGERTON DRIVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-630-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND MEDIC COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MIESZKOWSKI",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-630-7878",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzie Miller
• Patricia Lynn Miller, PHD
• Donna Mills
• Abilio Milo, MD
• Luvisminda Milo, M.D.
• Mindcore Integrative Health, LLC
• Mindful Living & Care, LLC
• Mindful Living Center - Chicago LLC
• Mindful Living Center Illinois Chicago NW LLC
• Mindful Living Center Illinois Joliet LLC

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.