My Mindful Counselor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MY MINDFUL COUNSELOR

Practice address

11 Brisa LN
Port Saint Lucie, FL 34952-7920

Phone

(630) 945-0376

NPI assigned

Sep 24, 2026

Last updated

Sep 24, 2026By 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

Holly AmbroseNPI 1437783222

Title

Owner

Phone

(630) 945-0376

Specialties & licenses 1

Addresses

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.

• Holly Kelly Ambrose, LCSW

  • Clinical Social Worker
  • Port Saint Lucie, FL
  • NPI 1437783222
  Authorized official Same address or phone

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1801709431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRISA LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527920",
            "telephone_number": "630-945-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRISA LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527920",
            "telephone_number": "630-945-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MINDFUL COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-945-0376"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia-Marcela Munoz-Rivera, P.A., LIC. AC.
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• Robert B Musser, D.C.
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• Allison Myers
• Camille Myers, RRT
• Zayna A Nahas, MD
• Nana's Home Care, Inc.

• Clinical Social Worker in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.