Organization Active NPI

Mindful Growth Psychotherapy, LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1760183339
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Julia Harkins ArcandNPI 1518269414
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230503003308 WI Part B Supplier - Clinic/Group Practice 9931564507 Receives reassigned benefits from 1 practitioner
Practice locations: Middleton, WI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.