Mindset Therapy and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSET THERAPY AND WELLNESS

Practice address

6431 Dante LN NW
Albuquerque, NM 87114-5024

Phone

(505) 239-7576

NPI assigned

Aug 11, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Diaz, LCSWNPI 1427541507

Title

Owner

Phone

(505) 239-7576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa Diaz, LCSW

  • Social Worker
  • Albuquerque, NM
  • NPI 1427541507

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Michelle B Romero, LMSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1538472410
  Medicare reassignment NPD
• Andrea Strand, LCSW

  • Clinical Social Worker
  • Rio Rancho, NM
  • NPI 1629557848
  Medicare reassignment NPD

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1710652755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45681",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871745681",
            "telephone_number": "505-226-1960",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 DANTE LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145024",
            "telephone_number": "505-239-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-239-7576",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Psychiatric Services
• Andres Eduardo Mindiola Romero, M.D.
• Mindremedi LLC (Franklin Porcil)
• Mindset Healing LLC
• Mindset Mental Health
• Allen R Miner, D.C.
• Katherine Miner, LCSW
• Sara Miner
• Stephanie Miner, NP
• Teresa Rios Minerd, LMT

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.