NPIMap

Organization Active NPI

Mindful Integrations Counseling Services LLC

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1811701873
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL INTEGRATIONS COUNSELING SERVICES LLC
Doing business as
Mindful Integrations Counseling Services LLC
Practice address
2912 Bar Harbor Dr
Bellevue, NE 68123-2772
Phone
(402) 619-0760
NPI assigned
Feb 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Authorized official

Name
Mr. Brady Ryan Bach, PLMHP, PLADCNPI 1871355685
Title
Owner/Counselor
Phone
(402) 619-0760

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2912 Bar Harbor Dr
Bellevue, NE 68123-2772

Mailing address

2912 Bar Harbor Dr
Bellevue, NE 68123-2772
Phone (402) 619-0760

Other identifiers 1

IdentifierTypeStateIssuer
10029480600MedicaidNE

Other names 1

  • Mindful Integrations Counseling Services LLC Doing business as

National Provider Directory

National Provider Directory

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": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1811701873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 BAR HARBOR DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232772",
            "telephone_number": "402-619-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 BAR HARBOR DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232772",
            "telephone_number": "402-619-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INTEGRATIONS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "402-619-0760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PLMHP, PLADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029480600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Integrations Counseling Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.