Active NPI
Mindful Counseling Services, LLC
- Mental Health Counselor
- Palm City, FL
National Provider Identifier
1922545763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH140752
- Legal business name
- MINDFUL COUNSELING SERVICES, LLC
- Practice address
- 1330 SW 34TH St
Palm City, FL 34990-3310 - Phone
- (772) 324-1950
- NPI assigned
- Jan 31, 2017
- 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
- Sarah Catherine Paulick, LMHC
- Title
- Psychotherapist
- Phone
- (772) 324-1950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH140752 | FL | Primary |
Addresses
Primary practice location
1330 SW 34TH St
Palm City, FL 34990-3310
Mailing address
1330 SW 34TH St
Palm City, FL 34990-3310
Phone (772) 324-1950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016815100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485820800000",
"number": "1922545763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 SW 34TH ST",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903310",
"telephone_number": "772-324-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SW 34TH ST",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349903310",
"telephone_number": "772-324-1950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A",
"authorized_official_last_name": "PAULICK",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "772-324-1950",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH140752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016815100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.