Mindful Crossroads Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL CROSSROADS COUNSELING

Practice address

6000 Tory LN
Chelsea, MI 48118-9437

Phone

(802) 343-0069

NPI assigned

Sep 26, 2022

Last updated

Nov 2, 2022By 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

Allie Lyn VansickleNPI 1053875013

Title

Mental Health Therapist

Phone

(802) 343-0069

Specialties & licenses 1

Addresses

Other names 2

• Mindful Crossroads Counseling Former legal business name
• Mindful Crossroads Counseling Services, LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Allie Lyn Vansickle

  • Social Worker
  • Ann Arbor, MI
  • NPI 1053875013
  Medicare reassignment Care Compare group Authorized official
• Sara Castle, LMSW

  • Social Worker
  • Detroit, MI
  • NPI 1821419268
  Medicare reassignment Care Compare group NPD
• Mary Eldredge, MSW

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1497147532
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1740903517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TORY LN",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189437",
            "telephone_number": "802-343-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TORY LN",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189437",
            "telephone_number": "802-343-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CROSSROADS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "VANSICKLE",
        "authorized_official_first_name": "ALLIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "802-343-0069"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/allie-lyn-vansickle-dexter-mi/494506",
            "affiliation": "N",
            "endpointDescription": "Psychology Today",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6000 Tory Ln",
            "city": "Chelsea",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481189437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mindful Crossroads Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mindful Crossroads Counseling Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Social Worker in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.