Mineset Mental Health Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINESET MENTAL HEALTH INC.

Practice address

1840 S Elena Ave Ste 106
Redondo Beach, CA 90277-5716

Phone

(310) 737-2210

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Ruth Nicolson, DSW, LCSWNPI 1164617015

Title

Founder/Practitioner

Phone

(310) 737-2210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly Ruth Nicolson, DSW, LCSW

  • Social Worker
  • Redondo Beach, CA
  • NPI 1164617015
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1972284669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 S ELENA AVE STE 106",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775716",
            "telephone_number": "310-737-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S ELENA AVE STE 106",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775716",
            "telephone_number": "310-737-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINESET MENTAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "NICOLSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "FOUNDER/PRACTITIONER",
        "authorized_official_telephone_number": "310-737-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LCSW"
    },
    "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": []
}

• Ronald Milestone, M.D.
• Corinna Lorraine Miller, RN
• Suzanne Lee Millican, LMFT
• Mind Well Psychological Services, PC
• Mindful Weight Loss
• Faith Anne Mitchell, MFT
• Paulina Mae Mitchell
• Nasrin Moghadasian, D.C., F.I.C.P.A
• Joseph Michael Mograbi, D.C
• Ankur Mohindra, D.D.S.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.