Mindful Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL COUNSELING AND WELLNESS LLC

Practice address

221 Devlin CT SE
Palm Bay, FL 32909

Phone

(321) 848-2215

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Rebecka Lynn Van Heden, LCSWNPI 1518161876

Title

President

Phone

(321) 848-2215

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Rebecka Lynn Van Heden, LCSW

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1518161876
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1972094357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 DEVLIN CT SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092322",
            "telephone_number": "321-848-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 DEVLIN CT SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32909",
            "telephone_number": "321-848-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 W Fee Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329014476",
            "country_code": "US",
            "telephone_number": "321-591-3949",
            "fax_number": "321-951-3987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "VAN HEDEN",
        "authorized_official_first_name": "REBECKA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-848-2215",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanyesha Milfort
• Anna Patrice Miller
• Aaron J Milton, M.S., M.DIV.
• Elibel Minaya
• Mind Body Soul and Spirit MBSS
• Kiwane Mingo
• William Albert Misner, O.D.
• Cristela Maria Mitchell, PHD, LCSW
• Edith Mitchell, CNA
• Marjorie Elane Mitchell, MA

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.