Organization Active NPI

Mindful Guidance and Counseling LLC

  • Professional Counselor
  • Southbury, CT
National Provider Identifier
1982105128
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL GUIDANCE AND COUNSELING LLC
Practice address
2 Pomperaug Office Park Ste 206C
Southbury, CT 06488-2292
Phone
(203) 267-9700
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Laura Davi, LPCNPI 1114290947
Title
Owner Counselor
Phone
(203) 733-6211

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2 Pomperaug Office Park Ste 206C
Southbury, CT 06488-2292

Mailing address

30 Lyrical LN
Sandy Hook, CT 06482-1614

Other identifiers 1

IdentifierTypeStateIssuer
008075728MedicaidCT

National Provider Directory

National Provider Directory

Locations

2 Pomperaug Office Park
Ste 206C
Southbury, CT 06488
Phone (203) 267-9700

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": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1982105128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LYRICAL LN",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POMPERAUG OFFICE PARK STE 206C",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882292",
            "telephone_number": "203-267-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL GUIDANCE AND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER COUNSELOR",
        "authorized_official_telephone_number": "203-733-6211",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008075728",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.