Mindful Solutions Mental Health & Support Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS-29744 Issued in CA

Legal business name

MINDFUL SOLUTIONS MENTAL HEALTH & SUPPORT SERVICES

Practice address

7365 Camelian Street
Suite 217-D
Rancho Cucamonga, CA 91730

Phone

(909) 831-4891

Fax

(909) 945-5555

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Miss Lorena Lemus Ybanez, LCSWNPI 1427440007

Title

Owner

Phone

(909) 831-4891

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lorena Lemus Ybanez, LCSW

  • Clinical Social Worker
  • Rancho Cucamonga, CA
  • NPI 1427440007
  NPD (past) Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1982096566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8272 MALACHITE AVENUE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-831-4891",
            "fax_number": "909-945-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CAMELIAN STREET",
            "address_2": "SUITE 217-D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-831-4891",
            "fax_number": "909-945-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL SOLUTIONS MENTAL HEALTH & SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "YBANEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "LEMUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-831-4891",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS-29744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Miranda
• Jessie Emmanuel Miranda
• Johnathon Steven Miranda III, EMT-B, 68W

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.