NPIMap

Organization Active NPI

Mindful Vision Counseling

  • Professional Counselor
  • Avon, CT
National Provider Identifier
1871106674
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL VISION COUNSELING
Practice address
304 W Main St Ste 21057
Avon, CT 06001-4355
Phone
(860) 249-1720
NPI assigned
Aug 31, 2020
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Anne Whitney Shea, LPC, TLMHCNPI 1912515701
Title
Owner/Therapist
Phone
(860) 249-1720

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

304 W Main St Ste 21057
Avon, CT 06001-4355

Mailing address

304 W Main St Ste 21057
Avon, CT 06001-4355
Phone (860) 249-1720

National Provider Directory

National Provider Directory

Locations

13190 E Colossal Cave Rd
Ste 290B
Vail, AZ 85641

304 W Main St
Ste 21057
Avon, CT 06001
Phone (860) 249-1720

Practitioners & affiliated clinicians

Practitioners 5

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": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1871106674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W MAIN ST STE 21057",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014355",
            "telephone_number": "860-249-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MAIN ST STE 21057",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014355",
            "telephone_number": "860-249-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL VISION COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "860-249-1720",
        "authorized_official_credential": "LPC, TLMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.