Organization Active NPI

A Mindful Practice

  • Adult Mental Health Clinic/Center
  • West Covina, CA
National Provider Identifier
1831952795
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
A MINDFUL PRACTICE
Practice address
100 N Barranca St Ste 255a
West Covina, CA 91791-1637
Phone
(626) 475-7234
NPI assigned
Feb 2, 2024
Last updated
May 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Authorized official

Name
Ms. Anabel Rodriguez, LCSWNPI 1942492202
Title
Founder/Ceo
Phone
(626) 475-7234

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

100 N Barranca St Ste 255a
West Covina, CA 91791-1637

Mailing address

1830 E Linda Vista St
West Covina, CA 91791-3508
Phone (626) 475-7234

Other identifiers 1

IdentifierTypeStateIssuer
1942492202MedicaidCA

National Provider Directory

National Provider Directory

Locations

100 N Barranca St
Ste 100A
West Covina, CA 91791

100 N Barranca St
Ste 255A
West Covina, CA 91791
Phone (626) 475-7234

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714780800000",
    "number": "1831952795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E LINDA VISTA ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913508",
            "telephone_number": "626-475-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 255A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "626-475-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MINDFUL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANABEL",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "626-475-7234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942492202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.