NPIMap

Organization Active NPI

Mindful Authenticity, LLC

  • Professional Counselor
  • Fort Collins, CO
National Provider Identifier
1780302133
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL AUTHENTICITY, LLC
Practice address
2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581
Phone
(970) 279-1117
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Hali Neves, MA, LPC
Title
Owner
Phone
(970) 279-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581

Mailing address

1163 Belleview Dr
Fort Collins, CO 80526-3840
Phone (970) 279-1117

National Provider Directory

National Provider Directory
Tax ID family
Mindful Authenticity LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1780302133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 BELLEVIEW DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263840",
            "telephone_number": "970-279-1117",
            "fax_number": "970-837-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MCCLELLAND DR STE 2000",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805252581",
            "telephone_number": "970-279-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL AUTHENTICITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "NEVES",
        "authorized_official_first_name": "HALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-279-1117",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.