Active NPI
Beautiful Mind Therapy LLC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1891391496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL |
National Provider Directory
National Provider DirectoryLocations
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.