Mindful Path Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL PATH THERAPY PLLC

Practice address

1803 E Wistoria CT
Mount Prospect, IL 60056-1829

Phone

(224) 423-9396

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Judith Lucas, LCPC, CADCNPI 1871091165

Title

Owner/Manager

Phone

(224) 423-9396

Specialties & licenses 1

Addresses

Tax ID family

Mindful Path Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mindful Path Therapy PLLC

  • Professional Counselor
  • Mount Prospect, IL
  • NPI 1639815939
  NPD tax ID

Practitioners 1

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

• Judith E Lucas, LPC

  • Professional Counselor
  • Barrington, IL
  • NPI 1871091165
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1811633118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E WISTORIA CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561829",
            "telephone_number": "224-423-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E WISTORIA CT",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561829",
            "telephone_number": "224-423-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "224-423-9396",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Miklasz
• Jennifer Miller, PHARMD
• Laura M Miller, OTR/L
• Marina Milutinovic, LPC
• Mindful Path Therapy PLLC
• Evgueni Minev, M.D.
• Mitchell Eip
• Sherri L Miyagi, DDS PC
• MM Supplies Inc
• MM Supplies Inc

• Mental Health Counselor in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.