Mindful Concepts, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDFUL CONCEPTS, LLC

Practice address

21650 W 11 Mile Rd Ste 108
Southfield, MI 48076-3715

Phone

(248) 919-8473

NPI assigned

Jul 14, 2020

Organization subpart

No

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

Authorized official

Name

Juanika L. Benson, LLPNPI 1013258904

Title

Psychotherapist

Phone

(313) 247-4413

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juanika L Benson

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1013258904

  Psychoanalyst

  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1891303012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29305 POINTE O WOODS PL APT 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341241",
            "telephone_number": "313-247-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 W 11 MILE RD STE 108",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763715",
            "telephone_number": "248-919-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JUANIKA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "313-247-4413",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquita Mims
• Mind Management Institute Inc
• Mind Spa, LLC
• Mind Trust Counseling and Consulting Services,PC
• Mindful Clarity LLC
• Mindful Serenity Solutions, LLC
• Mindharbor Therapy PC
• Mindkraft Solutions LLC
• Mindsetme Counseling and Support Services
• Mindshift & Wellness PLLC

• Clinical Psychologist in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.