The Mindful Practice, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE MINDFUL PRACTICE, LLC

Doing business as

The Mindful Practice

Practice address

1133 Louisiana Ave Ste 106
Winter Park, FL 32789-2350

Phone

(407) 308-2747

Fax

(321) 413-5886

NPI assigned

Dec 10, 2021

Last updated

Oct 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis Pardo, LCSWNPI 1588163679

Title

President

Phone

(407) 308-2747

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• The Mindful Practice Doing business as
• Alexis Pardo LCSW, LLC Former legal business name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Pardo, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1588163679
  NPD Authorized official
• Silvana D'Antonio, LCSW

  • Clinical Social Worker
  • Winter Park, FL
  • NPI 1932722501
  NPD
• Janine Gordon

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1154185882
  NPD
• Gabriela Rodriguez-Soto, LMHC

  • Mental Health Counselor
  • Winter Park, FL
  • NPI 1700451465
  NPD
• Angel Gomez, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1538751987

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1831858497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "407-308-2747",
            "fax_number": "321-413-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "407-308-2747",
            "fax_number": "321-413-5886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Riverside Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322053312",
            "country_code": "US",
            "telephone_number": "407-308-2747",
            "fax_number": "321-413-5886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MINDFUL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-308-2747",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588163679",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SW16166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mindful Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alexis Pardo LCSW, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alexis Pardo LCSW, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.