Organization Active NPI

Mindwell LLC

  • Counselor
  • Laurel, MS
National Provider Identifier
1922973882
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MINDWELL LLC
Practice address
409 W Oak St Ste 208
Laurel, MS 39440-3948
Phone
(601) 671-1224
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Jessica McLain, LMFT
Title
Owner
Phone
(601) 671-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

409 W Oak St Ste 208
Laurel, MS 39440-3948

Mailing address

921 Bunker St
Fruitdale, AL 36539-5208
Phone (601) 671-1224

National Provider Directory

National Provider Directory

Locations

409 W Oak St
Ste 208
Laurel, MS 39440
Phone (601) 671-1224

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1922973882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 BUNKER ST",
            "city": "FRUITDALE",
            "state": "AL",
            "postal_code": "365395208",
            "telephone_number": "601-671-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OAK ST STE 208",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403948",
            "telephone_number": "601-671-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-671-1224",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.