Center for the Healing Mind PLLC

Primary specialty

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

Legal business name

CENTER FOR THE HEALING MIND PLLC

Practice address

6653 Weaver Rd Ste 105
Rockford, IL 61114-8052

Phone

(815) 988-2524

NPI assigned

Dec 9, 2018

Organization subpart

No

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

Authorized official

Name

Karin K LedenNPI 1740635218

Title

Owner

Phone

(815) 742-7516

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Karin K Leden, MSW, APSW, LSW, LCSW

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1740635218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1942771548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 RENROSE AVE",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114046",
            "telephone_number": "815-742-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 WEAVER RD STE 105",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148052",
            "telephone_number": "815-988-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE HEALING MIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-09",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "LEDEN",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-742-7516"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Ann Cellitti, LMT
• Anne M Celner, RN, MS, APN-C
• Center for Marriage and Family, Inc.
• Center for Sight & Hearing
• Center for Sight & Hearing
• Cep America - Illinois, LLP
• Certified Hand Center of Rockford
• Altagracia Cervantes, APRN
• Cevene Care Clinic, Inc
• Todd Richard Cevene, DC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, IL
• Providers in Rockford, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.