Healthy Mindset Therapy

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HEALTHY MINDSET THERAPY

Practice address

11740 S 129TH East Ave
Broken Arrow, OK 74011-1901

Phone

(918) 268-8864

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Stacie Lorinda Ridley, LPCNPI 1922596295

Title

Owner

Phone

(918) 640-2840

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Stacie Lorinda Ridley, LPC

  • Mental Health Counselor
  • Broken Arrow, OK
  • NPI 1922596295
  NPD Authorized official

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1982302600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 S 129TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111901",
            "telephone_number": "918-640-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 S 129TH EAST AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111901",
            "telephone_number": "918-268-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDSET THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LORINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-640-2840",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922596295",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982302600",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.