Mindful Connections Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL CONNECTIONS COUNSELING SERVICES LLC

Practice address

20963 Meadowlark St
Farmington, MI 48336-5059

Phone

(248) 515-9864

NPI assigned

Dec 5, 2023

Last updated

Dec 5, 2023By 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

Brian Mendoza

Title

Administrator

Phone

(630) 632-5822

Specialties & licenses 1

Addresses

Locations

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.

• Kathryn Anderson, LPC

  • Counselor
  • Clinton Township, MI
  • NPI 1720598378

  Professional

  NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1801663349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20963 MEADOWLARK ST",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483365059",
            "telephone_number": "248-515-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20963 MEADOWLARK ST",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483365059",
            "telephone_number": "248-515-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-632-5822"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Farmington, MI
• Providers in Farmington, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.