Organization Active NPI

Mindful Health Counseling & Wellness PLLC

  • Mental Health Counselor
  • Bismarck, ND
National Provider Identifier
1942833181
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL HEALTH COUNSELING & WELLNESS PLLC
Practice address
101 Slate Dr Ste 2
Bismarck, ND 58503-6171
Phone
(701) 425-5146
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Angela B Metz, LPCCNPI 1487145231
Title
Mental Health Counselor
Phone
(701) 751-0302

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 Slate Dr Ste 2
Bismarck, ND 58503-6171

Mailing address

101 Slate Dr Ste 2
Bismarck, ND 58503-6171
Phone (701) 751-0302

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ametz@mindfulhealthnd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306000340 ND Part B Supplier - Clinic/Group Practice 9234575846 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

101 Slate Dr
Ste 2
Bismarck, ND 58503
Phone (701) 425-5146

Practitioners & affiliated clinicians

Practitioners 6

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": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1942833181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SLATE DR STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036171",
            "telephone_number": "701-751-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SLATE DR STE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036171",
            "telephone_number": "701-425-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALTH COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "701-751-0302",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ametz@mindfulhealthnd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "101 Slate Dr Ste 2",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585036171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.