Mindful Directions Counseling Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3817C Issued in AL

Legal business name

MINDFUL DIRECTIONS COUNSELING INC

Practice address

2308 Pansy St SW
Huntsville, AL 35801-3803

Phone

(256) 533-4377

Fax

(256) 539-7874

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Jennings, LCSW, PIPNPI 1255700704

Title

Owner

Phone

(256) 468-2098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Jennings, LCSW

  • Clinical Social Worker
  • Huntsville, AL
  • NPI 1255700704
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1790146298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 WHITESBURG DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012836",
            "telephone_number": "256-468-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013803",
            "telephone_number": "256-533-4377",
            "fax_number": "256-539-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL DIRECTIONS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-468-2098",
        "authorized_official_credential": "LCSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3817C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonda Miller, M.S.
• Carley Marie Mills
• Mike Mills, LMT
• Shelton Park Mims, D.M.D.
• Mind)))Sounds, LLC
• Alicea M Mingo, MD
• Deanna Minisee-Ryce
• Douglas Monroe Minisee, P.T.
• Kimberly H Minor, RPH
• Wayne Wesley Minor, ATC

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.