Mindful, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00009073 Issued in WA

Legal business name

MINDFUL, INC

Practice address

2403 Broadway St
Vancouver, WA 98663-3228

Phone

(360) 567-4595

Fax

(360) 213-1816

NPI assigned

Jul 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Judith Ann Canter, LICSW

Title

Manager

Phone

(360) 567-4595

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henrik Martens, MD

  • Dermatology Physician
  • Vancouver, WA
  • NPI 1922253319
  NPD (past)
• Janet Lynne Strong, MD

  • Surgical Critical Care Physician
  • Vancouver, WA
  • NPI 1386728046
  NPD (past)
• Susan M. Bernt, M.S.W., LCSW, LICSW

  • Clinical Social Worker
  • West Linn, OR
  • NPI 1588700280
  NPD (past)

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1932307683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "LA CENTER",
            "state": "WA",
            "postal_code": "986290923",
            "telephone_number": "360-567-4595",
            "fax_number": "360-213-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 BROADWAY ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633228",
            "telephone_number": "360-567-4595",
            "fax_number": "360-213-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "CANTER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-567-4595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00009073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailin Mimaki
• Mind & Body Acupuncture and Herb Center
• Mind & Body Therapies, PC
• Mindful Behavior Journeys LLC
• Mindful Wellness Counseling
• Justine Marie Louise Mings, DNP, PMHNP-BC, ARNP
• Brittany Minor, FNP-C, ENP-C, RN
• Rachael Minton, RN
• Greta Louise Miracle, PA-C
• Teresa Miramontes, MD

• Clinical Social Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.