Active NPI
Mindful Growth Psychotherapy, LLC
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1760183339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFUL GROWTH PSYCHOTHERAPY, LLC
- Practice address
- 715 Hill St Ste 130
Madison, WI 53705-3572 - Phone
- (733) 150-3137
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Harkins Arcand
- Title
- LCSW
- Phone
- (773) 315-0313
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
715 Hill St Ste 130
Madison, WI 53705-3572
Mailing address
341 Westridge Pkwy
Verona, WI 53593-8348
Phone (773) 315-0313
Other practice location 1
2711 Allen Blvd Ste 300
Middleton, WI 53562-2287
Phone (773) 315-0313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2711 Allen Blvd
Ste 305
Middleton, WI 53562
Phone (608) 896-5292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Middleton, WI
- NPI 1518269414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709164800000",
"number": "1760183339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 WESTRIDGE PKWY",
"city": "VERONA",
"state": "WI",
"postal_code": "535938348",
"telephone_number": "773-315-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 HILL ST STE 130",
"city": "MADISON",
"state": "WI",
"postal_code": "537053572",
"telephone_number": "733-150-3137"
}
],
"practiceLocations": [
{
"address_1": "2711 Allen Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "WI",
"postal_code": "535622287",
"country_code": "US",
"telephone_number": "773-315-0313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MINDFUL GROWTH PSYCHOTHERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "HARKINS ARCAND",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "773-315-0313"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.