Mindful Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180008945 Issued in IL

Legal business name

MINDFUL WELLNESS LLC

Practice address

3245 Grove Ave
Suite 107
Berwyn, IL 60402-3474

Phone

(778) 637-6981

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Monica Umlauf

Title

Therapist

Phone

(630) 730-3564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1841657939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 107",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023475",
            "telephone_number": "708-637-6981",
            "fax_number": "877-472-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "address_2": "SUITE 107",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474",
            "telephone_number": "778-637-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "UMLAUF",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-730-3564"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent J Milazzo, CRNA
• Angelique Faith Miles, BA
• Cara Milianti
• Dajuan Miller, M.A QMHP
• Kenneth R Miller, DC
• Debra Ann Mirabelli, MED
• Virginia Mireles
• Peter Misurec, M.D.
• Leah Mercedes Mizell, LCSW
• MN Anesthesia LLC

• Mental Health Counselor in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.