NPIMap

Organization Active NPI

Mindfully Transforming Counseling LLC

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1912737131
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFULLY TRANSFORMING COUNSELING LLC
Practice address
8401 Maryland Drive
Ste V
Richmond, VA 23294
Phone
(804) 616-7328
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Kellee ClarkNPI 1962094615
Title
Manager
Phone
(804) 616-7328

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8401 Maryland Drive
Ste V
Richmond, VA 23294

Mailing address

8401 Maryland Drive
Ste V
Richmond, VA 23294

National Provider Directory

National Provider Directory

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": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1912737131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MARYLAND DRIVE",
            "address_2": "STE V",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARYLAND DRIVE",
            "address_2": "STE V",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-616-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULLY TRANSFORMING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KELLEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-616-7328"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.