Be Mindful Clinic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BE MINDFUL CLINIC LLC

Practice address

2475 Albany Ave Ste 203B
West Hartford, CT 06117-2523

Phone

(203) 668-1718

Fax

(860) 891-6263

NPI assigned

Dec 5, 2022

Organization subpart

No

Name

Tanesha S Pickard, LCSW, LICSWNPI 1467769752

Title

Clinical Director

Phone

(203) 668-1718

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

• Tanesha S Pickard

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1467769752

  Clinical, CT, MA

  Medicare reassignment NPD Authorized official
• Azaria Drakeford

  • Professional Counselor
  • Manchester, CT
  • NPI 1447723739
  NPD
• Shaurice Crenshaw, MBA, MSN, RN

  • Administrator Registered Nurse
  • Springfield, MA
  • NPI 1598509135
  NPD
• Millianys Garcia

  • Social Worker
  • Springfield, MA
  • NPI 1285473694
  NPD

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

• BE MINDFUL CLINIC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 1, 2026.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1720798317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4172",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060964172",
            "telephone_number": "203-668-1718",
            "fax_number": "860-891-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 ALBANY AVE STE 203B",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172523",
            "telephone_number": "203-668-1718",
            "fax_number": "860-891-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE MINDFUL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "PICKARD",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-668-1718",
        "authorized_official_credential": "LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BE MINDFUL CLINIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brandon Batory, PA-C
• Lauren Batory, PA-C
• Katherine Batten, LCSW
• Christine Haverly Baumgart, IBCLC
• Andrea Loftus Bayley, LCSW
• Deborah Elizabeth Beach
• Shannon B. Beausoleil I, MD
• Beautiful Mind Counseling Services LLC
• Amy Eklund Beauvais, DMD
• Daniel Beauvais, DMD, MD

• All providers in West Hartford, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.