MLS Mindful Therapy PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MLS MINDFUL THERAPY PC

Practice address

135 Technology Dr Ste 312
Canonsburg, PA 15317-9549

Phone

(724) 413-4306

NPI assigned

May 8, 2020

Last updated

Jan 15, 2024By 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

Mary Lou Silvestros, LCSWNPI 1164812525

Title

Owner

Phone

(724) 413-4306

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 7

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.

• Mary Silvestros, LSW

  • Clinical Social Worker
  • Canonsburg, PA
  • NPI 1164812525
  Medicare reassignment Care Compare group NPD Authorized official
• Eva Jeanne Kramer, MA, LPC

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1144522715
  Medicare reassignment Care Compare group NPD
• Regan McGlennon, LPC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1598590143
  Medicare reassignment Care Compare group NPD
• Kenneth Riddle III

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1962074203
  Medicare reassignment Care Compare group NPD
• Venessa Bialas, LPC

  • Clinical Social Worker
  • Canonsburg, PA
  • NPI 1457081937
  NPD
• Lisa Marie Garey

  • Counselor
  • Orange Park, FL
  • NPI 1902443633

  Single Specialty

  NPD
• Raymond Charles George Jr., LPC

  • Professional Counselor
  • Canonsburg, PA
  • NPI 1962868257
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1790307130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 312",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-413-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 TECHNOLOGY DR STE 312",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179549",
            "telephone_number": "724-413-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Ansys Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Canonsburg",
            "state": "PA",
            "postal_code": "153170403",
            "country_code": "US",
            "telephone_number": "724-209-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MLS MINDFUL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SILVESTROS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-413-4306",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachael Moon, ATC
• Christopher Morris, D.O.
• Jessica Marie Morton, M.D.

• Clinical Social Worker in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.