Active NPI
Mindfully Mine Counseling Center
- Counseling Psychologist
- Ridgewood, NJ
National Provider Identifier
1780143693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- MINDFULLY MINE COUNSELING CENTER
- Practice address
- 179 S Maple Ave
Ridgewood, NJ 07450-4541 - Phone
- (201) 266-3087
- Fax
- (201) 462-3916
- NPI assigned
- Mar 19, 2019
- 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
- Dr. Andrea Gleim, PSY.D.,
- Title
- Founder/Clinical Director
- Phone
- (201) 266-3087
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
179 S Maple Ave
Ridgewood, NJ 07450-4541
Mailing address
334 E Lake Rd Ste 357
Palm Harbor, FL 34685-2427
Phone (813) 536-6223
National Provider Directory
National Provider DirectoryLocations
179 S Maple Ave
Ridgewood, NJ 07450
Phone (201) 444-3533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Ridgewood, NJ
- NPI 1568928851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1780143693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 E LAKE RD STE 357",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346852427",
"telephone_number": "813-536-6223",
"fax_number": "813-687-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504541",
"telephone_number": "201-266-3087",
"fax_number": "201-462-3916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFULLY MINE COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-19",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "GLEIM",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "FOUNDER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "201-266-3087",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D.,"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.