Mindful Serenity Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL SERENITY COUNSELING, LLC

Practice address

650 Sun Temple Drive
Madison, AL 35758

Phone

(256) 258-9211

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Melissa D'Angelis, LICSWNPI 1801369772

Title

Clinical Social Worker

Phone

(256) 258-9211

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Melissa D'Angelis, LICSW

  • Clinical Social Worker
  • Madison, AL
  • NPI 1801369772
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1932898772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HARDIMAN PLACE LANE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SUN TEMPLE DRIVE",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35758",
            "telephone_number": "256-258-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SERENITY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "D'ANGELIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "256-258-9211",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdangelis@mindfulserenityhsv.com",
            "affiliation": "N",
            "address_1": "650 Sun Temple Drive",
            "city": "Madison",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Mims, PA-C
• Mind & Body Family Practice and Behavioral Health, LLC
• Mind Over Matter Mental Health, LLC
• Mind Your Journey Counseling Services, LLC
• Mindful River Counseling LLC
• Seyed Aminoddin Mirramezani
• Mission Corner Counseling
• Keitha Hallmark Mitchell, CRNP
• Purvi B Mody, PHARM.D
• Katherine Ennis Moebes, CRNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, AL
• Providers in Madison, AL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.