Mindful Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL PSYCHOTHERAPY LLC

Practice address

3539 Skyline Dr
Bethlehem, PA 18020-2082

Phone

(610) 810-6645

NPI assigned

Apr 30, 2024

Last updated

Apr 30, 2024By 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

Mrs. Luisa Fernanda Moreno, LCSWNPI 1811665334

Title

Therapist

Phone

(610) 810-6645

Specialties & licenses 1

Addresses

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.

• Luisa Moreno

  • Social Worker
  • Bethlehem, PA
  • NPI 1811665334

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1851147755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 SKYLINE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 SKYLINE DR",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180202082",
            "telephone_number": "610-810-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "FERNANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "610-810-6645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Milthorpe, MD
• Timothy Minarovic, PH.D., BSL
• Nicole Michelle Mincin
• Mind of the Athlete, LLC
• Mindful Lotus Counseling, LLC
• Tonya Mineo, M.ED
• Kristin Minetola, RD, CNSC, LDN
• Edward J. Minger Jr., PAC
• Minimally Invasive Care Institute of Lehigh Valley LLC
• Shannon Michelle Minnick, M.A.

• Clinical Social Worker in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.