Organization Active NPI

Mindful Matters Child & Adolescent Counseling Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Auburn, MI
National Provider Identifier
1881052397
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
6401007631 Issued in MI
Legal business name
MINDFUL MATTERS CHILD & ADOLESCENT COUNSELING SERVICES LLC
Practice address
111 E Midland Rd
Auburn, MI 48611-9780
Phone
(989) 266-3421
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Heather Notter, LPCNPI 1750327284
Title
Authorized Official
Phone
(989) 266-3421

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X 6401007631 MI Primary

Addresses

Primary practice location

111 E Midland Rd
Auburn, MI 48611-9780

Mailing address

111 E Midland Rd
Auburn, MI 48611-9780
Phone (989) 266-3421

National Provider Directory

National Provider Directory

Locations

111 E Midland Rd
Auburn, MI 48611
Phone (989) 266-3421

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1881052397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119780",
            "telephone_number": "989-266-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119780",
            "telephone_number": "989-266-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MATTERS CHILD & ADOLESCENT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "NOTTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "989-266-3421",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MI",
            "license": "6401007631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.