Mindful Wellness Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL WELLNESS PSYCHOTHERAPY SERVICES LLC

Practice address

208 Park St
Morgantown, WV 26501-7518

Phone

(304) 672-2384

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Battista Lopez, MSW, LICSWNPI 1336670215

Title

Therapist/Owner

Phone

(304) 672-2384

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Christopher Lopez, LGSW

  • Social Worker
  • Morgantown, WV
  • NPI 1336670215
  NPD Authorized official

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1831819572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 EARL L CORE RD PMB1026",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057518",
            "telephone_number": "304-316-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 PARK ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265017518",
            "telephone_number": "304-672-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BATTISTA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "304-672-2384",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher@mindfulwellnesswv.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "208 Park St",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265017518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph J Minardi, M.D.
• Kelly Nicole Minardo
• Samantha Danielle Minc, M.D.
• Elizabeth A Minchau, CFNP
• Jeffrey Gary Minchau, DDS,MS
• Mindsight Integrative Therapy Services
• Amy Miner, CFNP
• Mikaela Miner, PHARMD
• Shane Edward Miner, APRN, FNP-C
• Casey Mingle

• Clinical Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.