Organization Active NPI

Mindful Therapy of the Woodlands, LLC

  • Exclusive Provider Organization
  • The Woodlands, TX
National Provider Identifier
1841749033
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
74873 Issued in TX
Legal business name
MINDFUL THERAPY OF THE WOODLANDS, LLC
Practice address
26411 Oak Ridge Dr
The Woodlands, TX 77380-1964
Phone
(936) 777-4642
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Ashby SimonsNPI 1568911519
Title
Owner
Phone
(318) 366-0790

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 74873 TX Primary

Addresses

Primary practice location

26411 Oak Ridge Dr
The Woodlands, TX 77380-1964

Mailing address

565 S Carolina Park
Conroe, TX 77302-3027
Phone (318) 366-0790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1841749033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 S CAROLINA PARK",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773023027",
            "telephone_number": "318-366-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26411 OAK RIDGE DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801964",
            "telephone_number": "936-777-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY OF THE WOODLANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "ASHBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-366-0790"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "74873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.