Mindful Healing Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL HEALING THERAPY LLC

Doing business as

Kimberly Boren

Practice address

1306 W Broadway St
Ardmore, OK 73401-2838

Phone

(918) 973-2451

NPI assigned

Jun 8, 2023

Last updated

Oct 15, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

KIMBERLY BORENAs reported in NPPES

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

Authorized official

Name

Kimberly Husting, LCSWNPI 1275900318

Title

Licensed Clinical Social Worker

Phone

(918) 973-2451

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Boren Doing business as

Part of

Mindful Healing Therapy

Locations

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.

• Kimberly Nicole Husting, LCSW

  • Clinical Social Worker
  • Ardmore, OK
  • NPI 1275900318
  Authorized official Same address or phone

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697328000000",
    "number": "1881388049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 3RD AVE SW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013217",
            "telephone_number": "918-973-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012838",
            "telephone_number": "918-973-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMBERLY BOREN",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A",
        "authorized_official_last_name": "HUSTING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "918-973-2451",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Boren",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kimberly Boren",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacy Lyn Miller, RBT
• Jennifer Miller
• Kyla Miller
• Sheila Diane Miller, APRN, FNP-C
• Kaitlyn Minarik
• Macey Minor
• Jazmyne Mireles
• Ashley Miser
• Heather Faye Miska
• Ali B Mitchell

• Clinical Social Worker in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.