Mindful Mountain Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL MOUNTAIN THERAPY PLLC

Practice address

1817 Queen Anne Ave N Ste 202
Seattle, WA 98109-2876

Phone

(206) 333-2343

Fax

(206) 848-1329

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Michael Nordin, LICSWNPI 1952886335

Title

Ceo/Owner

Phone

(206) 333-2343

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Michael Nordin, LICSW

  • Clinical Social Worker
  • Renton, WA
  • NPI 1952886335
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1821788514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 NW MARKET ST # 4340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075264",
            "telephone_number": "888-646-3686",
            "fax_number": "425-429-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 QUEEN ANNE AVE N STE 202",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092876",
            "telephone_number": "206-333-2343",
            "fax_number": "206-848-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOUNTAIN THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "NORDIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "206-333-2343",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca N Mindel
• Scott Mindel, D.C.
• Mindful Healing Behavioral Health Care LLC
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• Mindful Remedy, LLC
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• Mindful Way Therapy, PLLC
• Mindful Wellness Center
• Mindy Jones Counseling PLLC

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.