Mindful Psychotherapy Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3088125 Issued in WI

Legal business name

MINDFUL PSYCHOTHERAPY SERVICES LLC

Practice address

162 W Main St
Suite G
Whitewater, WI 53190-1995

Phone

(262) 458-2525

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By 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

Lori S Frison, M.S.NPI 1457596652

Title

Psychotherapist

Phone

(608) 359-2727

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lori S Frison, MS

  • Professional Counselor
  • Whitewater, WI
  • NPI 1457596652
  NPD (past) Authorized official
• Patricia Lee Bromley, PH.D.

  • Psychologist
  • Whitewater, WI
  • NPI 1194790063
  NPD (past)

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1740715291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9336 E GODFREY RD",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535639033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W MAIN ST",
            "address_2": "SUITE G",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901995",
            "telephone_number": "262-458-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "FRISON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-359-2727",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3088125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Health System Corporation (Mercy Sports Medicine Whitewater)
• Mercy Health System Corporation (Mercy Whitewater Medical Center)
• Mercy Health System Corporation (Mercy RHC Whitewater)
• Halle Merritt, DMD
• Melissa Kaye Miller, AGPCNP-BC
• David C Monk, O TR
• Jacob Morris
• Melissa Ruth Nelson Pinzino
• Elizabeth Neubauer
• Craig L Nevermann, OD

• Professional Counselor in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.