Mindful Change Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60389092 Issued in WA

Legal business name

MINDFUL CHANGE COUNSELING, LLC

Practice address

119 N Commercial St
#375
Bellingham, WA 98225-4446

Phone

(360) 510-4807

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen Lambert Thorndike, LICSWNPI 1407224520

Title

Owner

Phone

(360) 510-4807

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kathleen Lambert Thorndike, LICSW

  • Clinical Social Worker
  • Bellingham, WA
  • NPI 1407224520
  NPD (past) Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1699222794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 FRANKLIN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254907",
            "telephone_number": "360-510-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N COMMERCIAL ST",
            "address_2": "#375",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254446",
            "telephone_number": "360-510-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CHANGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "THORNDIKE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-510-4807",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60389092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Milner, PT
• Lester Milton, SUDPT
• Taryn Nicole Minckler
• Mind Body Integrative Therapy, PLLC
• Elizabeth Mindemann
• Mindoptimal Health Associates LLC
• Mindspring Counseling and Center for Dissociation
• Erin Morgan Mirakian, PA-C
• Teresa Claire Miramontes
• Juan Miranda, MSW, LICSWA

• Clinical Social Worker in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.