Organization Active NPI

Beautiful Mind Therapy LLC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1891391496
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEAUTIFUL MIND THERAPY LLC
Practice address
7942 W Bell Rd Ste C5-241
Glendale, AZ 85308-8708
Phone
(602) 736-9196
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Elizabeth WilliamsNPI 1548768914
Title
Therapist/Owner
Phone
(517) 755-7322

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7942 W Bell Rd Ste C5-241
Glendale, AZ 85308-8708

Mailing address

17722 N 79TH Ave Apt 2141
Glendale, AZ 85308-8680
Phone (517) 755-7322

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Email

National Provider Directory

National Provider Directory

Locations

7942 W Bell Rd
Ste C5241
Glendale, AZ 85308
Phone (602) 736-9196

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1891391496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17722 N 79TH AVE APT 2141",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088680",
            "telephone_number": "517-755-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7942 W BELL RD STE C5-241",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088708",
            "telephone_number": "602-736-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "517-755-7322"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "7942 W Bell Rd Ste C5-241",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.