NPIMap

Organization Active NPI

Changing Mindsets LTD Company

  • Professional Counselor
  • Pine Bluff, AR
National Provider Identifier
1750042263
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHANGING MINDSETS LTD COMPANY
Practice address
7700 Cross Rd
Pine Bluff, AR 71603-9151
Phone
(870) 723-1703
NPI assigned
Jan 6, 2022
Last updated
Aug 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Authorized official

Name
Sheena GarrardNPI 1679111975
Title
Owner
Phone
(870) 723-1703

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

7700 Cross Rd
Pine Bluff, AR 71603-9151

Mailing address

7700 Cross Rd
Pine Bluff, AR 71603-9151

National Provider Directory

National Provider Directory

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": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691884800000",
    "number": "1750042263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CROSS RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716039151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CROSS RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716039151",
            "telephone_number": "870-723-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING MINDSETS LTD COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "GARRARD",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-723-1703"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.