Active NPI
Mindful Way Healing LLC
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1922872993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Guinn, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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, IL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.