Mindwell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDWELL

Doing business as

MindWell

Practice address

1821 Quivers Keep
Chesapeake, VA 23321-1438

Phone

(757) 577-5857

NPI assigned

Jul 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Holly Duckett, PHD

Title

Owner

Phone

(757) 577-5857

Specialties & licenses 2

Addresses

Other names 1

• MindWell Doing business as

Tax ID family

Mindwell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mindwell

  • Developmentally Disabled Services Day Training Agency
  • Chesapeake, VA
  • NPI 1982554705
  NPD tax ID

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1851071047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 QUIVERS KEEP",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211438",
            "telephone_number": "757-577-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 QUIVERS KEEP",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211438",
            "telephone_number": "757-577-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-577-5857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindWell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyung Cheon Min, DDS
• Mind Heart Connection LLC
• Mindful Solutions Home Healthcare
• Minds That Matter LLC (n/a)
• Mindset Solutions LLC
• Mindwell
• Sarah Mines
• Sharon Hooper Minor
• Linda Sue Mintle, PHD
• Evan E Mintz, PA

• Mental Health Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.