Mindful Balance Integrated Weight Loss and Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL BALANCE INTEGRATED WEIGHT LOSS AND WELLNESS

Practice address

6032 40TH Ave
Kenosha, WI 53142-7018

Phone

(262) 900-8186

Fax

(262) 287-0884

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Dana Booe-Draper

Title

Office Manager

Phone

(262) 287-1999

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1891685376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-900-8186",
            "fax_number": "262-287-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 40TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427018",
            "telephone_number": "262-900-8186",
            "fax_number": "262-287-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL BALANCE INTEGRATED WEIGHT LOSS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BOOE-DRAPER",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-287-1999"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Miller-Duval, LPC
• Emily Miller, DC
• Heather Ann Petersohn Miller, AU.D.
• Sarah M Miller, PA-C
• Miso Niko Miloslavic, MD
• Trista Ann Minezes, RN
• Scott D Mingilino, FNP-BC, PMHNP-BC
• Jamie Rae Mings, M.D.
• Carlos J Miro, DDS
• Shazia Mirza, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.