Mind Body Spirit Center

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3920 Issued in MN

Legal business name

MIND BODY SPIRIT CENTER

Practice address

160 Waynesborough Way
Mankato, MN 56001-6457

Phone

(507) 625-2660

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Carol Ann Lowinske

Title

Owner

Phone

(507) 625-2660

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Carol Ann Lowinske, MA MS LP

  • Psychologist
  • Mankato, MN
  • NPI 1275683401
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1902057797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WAYNESBOROUGH WAY",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016457",
            "telephone_number": "507-625-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WAYNESBOROUGH WAY",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016457",
            "telephone_number": "507-625-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "LOWINSKE",
        "authorized_official_first_name": "CAROL ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-625-2660"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1975170-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "125732",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "45Q33L0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "62-51173",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Jaye Miller
• Matthew Edward Miller, MSW, LICSW
• Megan Marie Miller, DPT
• Shayna Terese Miller, SLP
• Helaine Marie Mills, DO
• Minneapolis Vamc
• Minnesota Dermatology Associates PLLC
• Minnesota Language Services
• Minnesota River Area Agency on Aging, Inc
• Minnesota River Area Agency on Aging, Inc.

• Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.