Mindfully Re-Align LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MINDFULLY RE-ALIGN LLC

Practice address

250 N Rock Rd Ste 130
Wichita, KS 67206-2261

Phone

(316) 364-1495

NPI assigned

Jul 17, 2023

Organization subpart

No

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

Authorized official

Name

Bridgette Miller, LCMFT, LBSWNPI 1154876159

Title

Mental Health Therapist

Phone

(316) 364-1495

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.

• Bridgette C Miller, LCMFT, LBSW, CFRC

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1154876159
  NPD Authorized official

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1821777939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062261",
            "telephone_number": "316-364-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROCK RD STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062261",
            "telephone_number": "316-364-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY RE-ALIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "316-364-1495",
        "authorized_official_credential": "LCMFT, LBSW"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.