NPIMap

Organization Active NPI

Mind Stance Inc

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1972152940
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND STANCE INC
Practice address
5443 N Broadway St FL 2
Chicago, IL 60640-1703
Phone
(773) 980-6505
Fax
(872) 231-0066
NPI assigned
Sep 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Ms. Judith L Weirauch, LCSWNPI 1780198150
Title
Owner/Psychotherapist
Phone
(773) 980-6505

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5443 N Broadway St FL 2
Chicago, IL 60640-1703

Mailing address

6423 N Greenview Ave Apt 3W
Chicago, IL 60626-6182
Phone (303) 525-6697

Other practice location 1

4753 N Broadway St Ste 928
Chicago, IL 60640-7911
Phone (773) 980-6505

National Provider Directory

National Provider Directory

Locations

5443 N Broadway St
Ste 2
Chicago, IL 60640
Phone (773) 980-6505

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": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1972152940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6423 N GREENVIEW AVE APT 3W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266182",
            "telephone_number": "303-525-6697",
            "fax_number": "872-231-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 N BROADWAY ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401703",
            "telephone_number": "773-980-6505",
            "fax_number": "872-231-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4753 N Broadway St Ste 928",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606407911",
            "country_code": "US",
            "telephone_number": "773-980-6505",
            "fax_number": "872-231-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND STANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "WEIRAUCH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "773-980-6505",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.