Organization Active NPI

Mindful Counseling Services, LLC

  • Mental Health Counselor
  • Palm City, FL
National Provider Identifier
1922545763
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH140752 Issued in FL
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

Updated by the provider on Jan 31, 2017

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
016815100MedicaidFL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.