Mindful Life in Action

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I1200473 Issued in OH

Legal business name

MINDFUL LIFE IN ACTION

Practice address

380 Cline Ave Ste 3
Mansfield, OH 44907-1056

Phone

(567) 241-1543

NPI assigned

Oct 21, 2013

Last updated

May 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Cox, LISW-S, LICDCNPI 1629338298

Title

Therapist

Phone

(567) 241-1543

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary M Cox, LISW

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1629338298
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Ann Rich, LISW, LICDC

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1295983377
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1902234453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448750290",
            "telephone_number": "567-241-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CLINE AVE STE 3",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071056",
            "telephone_number": "567-241-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIFE IN ACTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "567-241-1543",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LISW-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "ICDC131026",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I1200473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906532",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher L Milligan
• Rita Milligan
• Payton Mills
• Ashley Nicole Minard
• Patrice Michele Minard
• Anita Marie Miner
• Minnie's Miracles
• Sherry Minnig
• Rachele Marie Missella
• Alan Mitchell

• Mental Health Counselor in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.