Mind & Spirit Counseling Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND & SPIRIT COUNSELING CENTER

Practice address

90 Mission Dr Ste 5
Pleasanton, CA 94566-7655

Phone

(925) 960-3552

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Jill Mattesich-UdoutchNPI 1912537648

Title

President

Phone

(925) 960-3552

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Mattesich-Udoutch

  • Marriage & Family Therapist
  • Pleasanton, CA
  • NPI 1912537648
  NPD Authorized official

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1750921623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 FLORENCE RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505545",
            "telephone_number": "925-960-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MISSION DR STE 5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667655",
            "telephone_number": "925-960-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND & SPIRIT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "MATTESICH-UDOUTCH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-960-3552"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "integrativecounselingsrvcs.com",
            "affiliation": "N",
            "address_1": "90 Mission Dr Ste 5",
            "city": "Pleasanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945667655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katarina Milosavljevic, DO
• Milton H. Louie, MD
• Alexa Taylor Milus, DC
• Jennifer Nicole Milus, DC
• Sandy Cristina Minchaca Avalos
• Minh Dang M.D. Inc.
• Terri Minniear
• Miracle Ear
• Anita Miranda
• Josaphat L Mirimo

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.