Active NPI
Open Minds Counseling LLC
- Professional Counselor
- Philadelphia, MS
National Provider Identifier
1891435558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OPEN MINDS COUNSELING LLC
- Practice address
- 1120 E Main St Ste 4
Philadelphia, MS 39350-2300 - Phone
- (601) 416-1860
- NPI assigned
- Mar 30, 2022
- 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
- Aislin Boler, LPC
- Title
- Owner
- Phone
- (601) 416-1860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1120 E Main St Ste 4
Philadelphia, MS 39350-2300
Mailing address
1120 E Main St Ste 4
Philadelphia, MS 39350-2300
Phone (601) 416-1860
National Provider Directory
National Provider DirectoryLocations
1120 E Main St
Ste 4
Philadelphia, MS 39350
Phone (601) 416-1860
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": "1648598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648598400000",
"number": "1891435558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E MAIN ST STE 4",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393502300",
"telephone_number": "601-416-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E MAIN ST STE 4",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393502300",
"telephone_number": "601-416-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MINDS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "BOLER",
"authorized_official_first_name": "AISLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-416-1860",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.