Organization Active NPI

Mindful Counseling and Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
National Provider Identifier
1962147363
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MINDFUL COUNSELING AND WELLNESS LLC
Practice address
867 Boylston St Ste 500
Boston, MA 02116-2774
Phone
(414) 465-2585
NPI assigned
Apr 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Juliet Pellicane, LMHC LPCNPI 1821631995
Title
Clinician
Phone
(414) 465-2585

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

867 Boylston St Ste 500
Boston, MA 02116-2774

Mailing address

1345 N Jefferson St # 283
Milwaukee, WI 53202-2644
Phone (414) 465-2585

National Provider Directory

National Provider Directory

Locations

2025 N Summit Ave
Ste 111
Milwaukee, WI 53202
Phone (312) 757-0300

Practitioners & affiliated clinicians

Practitioners 1

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": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1962147363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N JEFFERSON ST # 283",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022644",
            "telephone_number": "414-465-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 BOYLSTON ST STE 500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162774",
            "telephone_number": "414-465-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "PELLICANE",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "414-465-2585",
        "authorized_official_credential": "LMHC LPC"
    },
    "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": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.