Counsel the Mind, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008009368 Issued in MO

Legal business name

COUNSEL THE MIND, LLC

Practice address

34 N Brentwood Blvd
Suite 14
Clayton, MO 63105-3746

Phone

(314) 827-5527

Fax

(916) 560-6623

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly L Brownridge, LPC, NCCNPI 1528396256

Title

Owner/Licensed Professional Counsel

Phone

(314) 496-4369

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly L Brownridge, MA, LPC, NCC

  • Professional Counselor
  • Saint Louis, MO
  • NPI 1528396256
  NPD (past) Authorized official
• Joshua White

  • Counselor
  • Hillsboro, MO
  • NPI 1225370638

  Professional

  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1801159975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8361 ORCHARD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322819",
            "telephone_number": "314-496-4369",
            "fax_number": "916-560-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 N BRENTWOOD BLVD",
            "address_2": "SUITE 14",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053746",
            "telephone_number": "314-827-5527",
            "fax_number": "916-560-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSEL THE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "BROWNRIDGE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "314-496-4369",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008009368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clayton, MO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.