Enkindled Minds Counseling and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENKINDLED MINDS COUNSELING AND WELLNESS

Practice address

2507 Springs Rd
Vallejo, CA 94591-5612

Phone

(707) 515-0612

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Ladner-Pace, CSW

Title

Ceo

Phone

(707) 515-0612

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1942860267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915612",
            "telephone_number": "707-515-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915612",
            "telephone_number": "707-515-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENKINDLED MINDS COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "LADNER-PACE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-515-0612",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Margaret Embree-Davis, M.A., MFT
• Glory Eminue
• Oliver Vergara Encabo Jr.
• Eric R. Engelman, MD
• Amy Gail English, DDS
• Concepcion Enriquez
• Epione Health Services LLC
• Epione Health Services LLC
• Robert Mark Epstein, MFT
• Brittany Jane Erickson

• Mental Health Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.