Mind Journey Therapy LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND JOURNEY THERAPY LCSW PLLC

Doing business as

Mind Journey Therapy

Practice address

1 Delaware Rd Ste 130
Kenmore, NY 14217-2743

Phone

(716) 249-0030

NPI assigned

Dec 14, 2022

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Born-Horowitz, LCSWNPI 1518142728

Title

Owner

Phone

(716) 249-0030

Specialties & licenses 4

Addresses

Other names 1

• Mind Journey Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Elizabeth Born-Horowitz, LCSW

  • Clinical Social Worker
  • Kenmore, NY
  • NPI 1518142728

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1982316626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 DEERHURST PARK BLVD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172104",
            "telephone_number": "585-507-9262",
            "fax_number": "716-259-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DELAWARE RD STE 130",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172743",
            "telephone_number": "716-249-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND JOURNEY THERAPY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BORN-HOROWITZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-249-0030",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Journey Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Journey Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany A Miller, M.A. CCC-SLP
• Rachel Lynn Miller, PTA
• Sharon L Miller, NP
• Andrea Rene Milleville, LMSW
• Allison Mills
• Frank Charles Mineo, R.PH.
• Angela Marie Minniefield, MS CCC A
• Angela Moffett, OTR/L
• Nicholas Mogavero Jr.
• Monique Molina, OTR/L

• Clinical Social Worker in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Clinical Social Worker in New York

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