Mindful Perceptions PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDFUL PERCEPTIONS PC

Practice address

1755 Park St
Suite 200 #1115
Naperville, IL 60563

Phone

(815) 764-4197

NPI assigned

Apr 20, 2022

Last updated

Apr 20, 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

Tifarah Jackson, LCPCNPI 1730709452

Title

Owner

Phone

(773) 517-7463

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Tifarah Jackson, LPC

  • Professional Counselor
  • Sycamore, IL
  • NPI 1730709452
  NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1922741586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 SYCAMORE RD STE 174",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-764-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST",
            "address_2": "SUITE 200 #1115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "815-764-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PERCEPTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TIFARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-517-7463",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Body Connections PLLC
• Mindful Mindset Wellness Center, PLLC
• Mindful Mindset Wellness Center, PLLC
• Mindful Moments, Inc. (Phoenix Rising with Dr. G)
• Mindful Objective Health and Wellness (Mindful Objective Integrative Health and Wellness)
• Mindful Psychiatry and Health PLLC
• Kandace Minor
• Mark Minor
• Paula Sue Mintchell, O.D.
• Charlotte Danette Minter-Jackson

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.