Mindful Health PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL HEALTH PLLC

Practice address

13403 N Government Way Ste 102
Hayden, ID 83835-8906

Phone

(208) 719-1030

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Brigette Pender, LCSWNPI 1891950754

Title

Owner / Provider

Phone

(208) 719-1030

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.

• Brigette D Pender, LCSW

  • Clinical Social Worker
  • Hayden, ID
  • NPI 1891950754
  NPD Authorized official

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1699341537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358906",
            "telephone_number": "208-719-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY STE 102",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358906",
            "telephone_number": "208-719-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "BRIGETTE",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "208-719-1030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicine Man North Pharmacy Inc (Medicine Man Hayden Pharmacy)
• Medicine Man North Pharmacy Inc (Medicine Man Athol Pharmacy)
• Roni Melton, LPC
• Robert A Meyer, D.C.
• Tonya Miller, MPH, MCHC
• Monnier Counseling LLC
• Emily Monnier
• John Drew Monnier, LCSW
• Mary Monroe, RDN, LD, IBCLC
• Rose Morningstar, LICENSED MASSAGE THE

• Mental Health Counselor in Hayden, ID
• Providers in Hayden, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.