Mindful and Present Counseling, LLC

Primary specialty

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

Legal business name

MINDFUL AND PRESENT COUNSELING, LLC

Practice address

1219 Millennium Pkwy Ste 116
Brandon, FL 33511-3891

Phone

(813) 455-8672

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Shawn Marie North, LCSW

Title

Owner/Managing Member

Phone

(813) 455-8672

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MAP Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1770149072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 RUSTLING OAKS DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102358",
            "telephone_number": "813-455-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MILLENNIUM PKWY STE 116",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113891",
            "telephone_number": "813-455-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL AND PRESENT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "NORTH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "813-455-8672",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020425900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mindfulandpresentcounseling.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "electronic health record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1219 Millennium Pkwy Ste 116",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335113891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MAP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miller, Veronica Elaine
• Angelo Milli Hernandez, DMD
• Mary Whitney Mills-Tozier
• Mindbridge Health and Wellness Inc
• Mindful and Present Counseling, LLC
• Mindful Chiropractic LLC
• Mindful Migrations, LLC
• Iris Minkon, OT
• Jeffrey Scott Mino, M.D.
• Whitney Minor, APRN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.