Mindful Path Counseling & Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL PATH COUNSELING & WELLNESS PLLC

Practice address

621 N Main St Ste 435
Grapevine, TX 76051-9218

Phone

(469) 556-5234

Fax

(972) 767-3471

NPI assigned

Dec 18, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Walker

Title

Office Manager

Phone

(318) 932-1463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

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

• Carla Ervin

  • Clinical Social Worker
  • Flower Mound, TX
  • NPI 1780330159
  NPD (past)
• Tricia Coltrane Gagnon, LPC

  • Professional Counselor
  • Flower Mound, TX
  • NPI 1568688760
  NPD (past)
• Desiree Nitka, LSW

  • Social Worker
  • Dallas, TX
  • NPI 1295274504

  Mental Health

  NPD (past)
• Steve Reedy, LPC

  • Counselor
  • Dallas, TX
  • NPI 1518274745

  Mental Health

  NPD (past)
• Dusty Lynne Vigil, MS, LPC, LCDC

  • Professional Counselor
  • Flower Mound, TX
  • NPI 1437922895
  NPD (past)
• Clarissa Wicklund, LMFT

  • Mental Health Counselor
  • Fort Worth, TX
  • NPI 1750048500
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1700358603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N MAIN ST STE 435",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519218",
            "telephone_number": "469-556-5234",
            "fax_number": "972-767-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N MAIN ST STE 435",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760519218",
            "telephone_number": "469-556-5234",
            "fax_number": "972-767-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-932-1463"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1568688760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Bottimore Miller, PH.D.
• Jason Darrell Miller, D.O.
• Zaira Miller
• Mind Above Matter LLC
• Mind Above Matter, LLC
• Leslie Jean Miner, D.C.
• Mint Dentistry, PLLC
• Mint Oral Surgery, PLLC
• Shazia Mirza
• Kelly Mitchell, P.T.

• Mental Health Counselor in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.