Mindful Wellness Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL WELLNESS COUNSELING, LLC

Practice address

915 Sullivan Ave Ste 4a
South Windsor, CT 06074-2165

Phone

(860) 264-5675

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Monica Smith, LPCNPI 1578958013

Title

Licensed Therapist

Phone

(860) 559-0349

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Monica Smith, MS

  • Professional Counselor
  • South Windsor, CT
  • NPI 1578958013

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1811524424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WAPPING RD",
            "city": "BROAD BROOK",
            "state": "CT",
            "postal_code": "060169723",
            "telephone_number": "860-559-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SULLIVAN AVE STE 4A",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742165",
            "telephone_number": "860-264-5675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Hartford Tpke Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060665245",
            "country_code": "US",
            "telephone_number": "860-264-5675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "860-559-0349",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578958013",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Syrma I Middlebrook, APRN
• Grace Mighty
• Grace Katherine Milone
• Ligi-Elin Jacob Milord, MS, OTR/L
• Mindful Liberation Counseling LLC
• Jillian Miner
• Akhtar Mohammad, DO
• Melissa Jennifer Mokel
• Brittainey Elizabeth Molina, LPC
• Melanie Moreno, PA-C

• Professional Counselor in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.