Organization Active NPI

Mindful Counseling PLLC

  • Mental Health Counselor
  • White Bear Lake, MN
National Provider Identifier
1750221099
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL COUNSELING PLLC
Practice address
4756 Banning Ave Ste 208
White Bear Lake, MN 55110-3206
Phone
(715) 523-3411
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Benjamin John Fraundorf, LPCC, LPCNPI 1851755318
Title
Professional Clinical Counselor
Phone
(612) 293-6625

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4756 Banning Ave Ste 208
White Bear Lake, MN 55110-3206

Mailing address

4756 Banning Ave Ste 208
White Bear Lake, MN 55110-3206
Phone (612) 293-6625

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": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1750221099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 BANNING AVE STE 208",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103206",
            "telephone_number": "612-293-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4756 BANNING AVE STE 208",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103206",
            "telephone_number": "715-523-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-29",
        "status": "A",
        "authorized_official_last_name": "FRAUNDORF",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PROFESSIONAL CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "612-293-6625",
        "authorized_official_credential": "LPCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.