Organization Active NPI

Mind and Spirit Counseling and Education Services LLC.

  • Professional Counselor
  • Beavercreek, OH
National Provider Identifier
1740553080
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0501350 Issued in OH
Legal business name
MIND AND SPIRIT COUNSELING AND EDUCATION SERVICES LLC.
Practice address
1407 New Way Dr
Beavercreek, OH 45434-6925
Phone
(937) 520-8437
Fax
(937) 320-9630
NPI assigned
Feb 16, 2012
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Mark Russell Stobie, PCC, NCCNPI 1265639991
Title
Owner/Provider
Phone
(937) 520-8437

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 Counselor 101YP2500X E 0501350 OH Primary

Addresses

Primary practice location

1407 New Way Dr
Beavercreek, OH 45434-6925

Mailing address

3195 Dayton Xenia Rd, PMB 108, Ste 900
Beavercreek, OH 45434-6390
Phone (937) 520-8437

National Provider Directory

National Provider Directory

Locations

1324 Parkway Ct
Beavercreek, OH 45432
Phone (507) 884-4489

3045 Rodenbeck Dr
Beavercreek, OH 45432
Phone (937) 426-1888

3195 Dayton Xenia Rd
Ste 900
Beavercreek, OH 45434
Phone (801) 900-3941

Practitioners & affiliated clinicians

Practitioners 1

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1740553080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 DAYTON XENIA RD, PMB 108, STE 900",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346390",
            "telephone_number": "937-520-8437",
            "fax_number": "937-320-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 NEW WAY DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346925",
            "telephone_number": "937-520-8437",
            "fax_number": "937-320-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND SPIRIT COUNSELING AND EDUCATION SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "STOBIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "937-520-8437",
        "authorized_official_credential": "PCC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0501350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.