Organization Active NPI

Mindful Healing & Consulting PLLC

  • Mental Health Counselor
  • Moorhead, MN
National Provider Identifier
1851903033
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL HEALING & CONSULTING PLLC
Practice address
1904 30TH Ave S
Moorhead, MN 56560-5210
Phone
(218) 325-0069
NPI assigned
Aug 19, 2020
Last updated
Jun 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Melissa DahlNPI 1467947291
Title
Owner
Phone
(218) 325-0069

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1904 30TH Ave S
Moorhead, MN 56560-5210

Mailing address

1904 30TH Ave S
Moorhead, MN 56560-5210
Phone (218) 325-0069

Other practice location 1

1602 Belsly Blvd
Moorhead, MN 56560-5285
Phone (218) 325-0069

National Provider Directory

National Provider Directory

Locations

1904 30th Ave S
Moorhead, MN 56560
Phone (218) 236-7145

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1851903033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605210",
            "telephone_number": "218-325-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605210",
            "telephone_number": "218-325-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Belsly Blvd",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605285",
            "country_code": "US",
            "telephone_number": "218-325-0069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL HEALING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-325-0069"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.