Organization Active NPI

Mindful Path Mental Health, LLC

  • Marriage & Family Therapist
  • Westerville, OH
National Provider Identifier
1801455217
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDFUL PATH MENTAL HEALTH, LLC
Practice address
3 W Main St Ste 203
Westerville, OH 43081-2195
Phone
(614) 955-1023
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Amanda CorriganNPI 1689065310
Title
Owner/Service Provider
Phone
(614) 955-1023

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3 W Main St Ste 203
Westerville, OH 43081-2195

Mailing address

3 W Main St Ste 203
Westerville, OH 43081-2195
Phone (614) 955-1023

Other identifiers 1

IdentifierTypeStateIssuer
0206378MedicaidOH

National Provider Directory

National Provider Directory

Locations

3 W Main St
Ste 203
Westerville, OH 43081
Phone (614) 633-5946

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1801455217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 203",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-955-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W MAIN ST STE 203",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812195",
            "telephone_number": "614-955-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "CORRIGAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/SERVICE PROVIDER",
        "authorized_official_telephone_number": "614-955-1023"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.