Organization Active NPI

Mindful Way Healing LLC

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1922872993
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFUL WAY HEALING LLC
Practice address
101 N Plaza East Blvd Ste 103a
Evansville, IN 47715-2804
Phone
(618) 383-2611
Fax
(812) 329-4141
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Heather Guinn, LCSWNPI 1952838195
Title
Member
Phone
(618) 383-2611

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 N Plaza East Blvd Ste 103a
Evansville, IN 47715-2804

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231219002388 IN Part B Supplier - Clinic/Group Practice 9638529597 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN
O20240606001127 IL Part B Supplier - Clinic/Group Practice 9638529597 Receives reassigned benefits from 1 practitioner
Practice locations: Crossville, IL

National Provider Directory

National Provider Directory

Locations

101 N Plaza East Blvd
Ste 101A
Evansville, IN 47715

101 N Plaza East Blvd
Ste 103A
Evansville, IN 47715
Phone (618) 383-2611

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": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1922872993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAZA EAST BLVD STE 103A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152804",
            "telephone_number": "618-383-2611",
            "fax_number": "812-329-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL WAY HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-383-2611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.