Organization Active NPI

Mindful Therapy Zone, LLC

  • Professional Counselor
  • Shelton, CT
National Provider Identifier
1801747621
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL THERAPY ZONE, LLC
Practice address
1000 Bridgeport Ave Ste 508
Shelton, CT 06484-4676
Phone
(203) 502-9978
NPI assigned
Feb 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Mr. Jesse Montalvo, LPCNPI 1457976011
Title
Co-Owner
Phone
(203) 502-9978

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1000 Bridgeport Ave Ste 508
Shelton, CT 06484-4676

Mailing address

3006 Madison Ave Unit G
Bridgeport, CT 06606-2065
Phone (203) 502-9978

National Provider Directory

National Provider Directory

Locations

1000 Bridgeport Ave
Ste 508
Shelton, CT 06484
Phone (203) 502-9978

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": "1770336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1801747621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 MADISON AVE UNIT G",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062065",
            "telephone_number": "203-502-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRIDGEPORT AVE STE 508",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844676",
            "telephone_number": "203-502-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY ZONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-502-9978",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.