Organization Active NPI

Growing Mindful Psychotherapy Creciendo Plenamente, LLC

  • Professional Counselor
  • West Allis, WI
National Provider Identifier
1720607617
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GROWING MINDFUL PSYCHOTHERAPY CRECIENDO PLENAMENTE, LLC
Practice address
2363 S 102ND St Ste 303
West Allis, WI 53227-2143
Phone
(414) 204-5174
NPI assigned
Apr 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Cesilia Gonzalez-Esparza, MS, LPC, NCCNPI 1457700254
Title
Owner
Phone
(414) 841-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2363 S 102ND St Ste 303
West Allis, WI 53227-2143

Mailing address

2363 S 102ND St Ste 303
West Allis, WI 53227-2143

National Provider Directory

National Provider Directory

Locations

1135 S 70th St
Ste 401
West Allis, WI 53214
Phone (414) 204-5174

2363 S 102nd St
Ste 303
West Allis, WI 53227
Phone (414) 204-5174

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1720607617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 303",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 S 102ND ST STE 303",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272143",
            "telephone_number": "414-204-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDFUL PSYCHOTHERAPY CRECIENDO PLENAMENTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-ESPARZA",
        "authorized_official_first_name": "CESILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-841-0641",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.