Mindset Mental Health Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDSET MENTAL HEALTH CENTER, INC.

Practice address

338 Memorial Dr Ste a
Crystal Lake, IL 60014-6262

Phone

(815) 575-6224

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Jill McCutcheon, LCSWNPI 1952478562

Title

President

Phone

(815) 575-6224

Specialties & licenses 1

Addresses

Other names 1

• Mindset Counseling Other name

Locations

Practitioners 1

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

• Jill McCutcheon, LSCW

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1952478562
  NPD Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1750953329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 MEMORIAL DR STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146262",
            "telephone_number": "815-575-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 MEMORIAL DR STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146262",
            "telephone_number": "815-575-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "MCCUTCHEON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-575-6224",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindset Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Miller, DPT
• Erin Miller
• Gerald Miller, DDS
• Laura Marie Miller, LCPC
• Marci Mills
• Mintcho Elinov Mintchev, DO
• Tony Louis Minutillo, D.D.S., M.S.D.
• Margaret Misiolek, LPC
• Sara Irene Mitchinson, M.A.,CCC-SLP/L
• Mobile Enrichment Services, LLC

• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.