Clinical Healing and Mindfulness Practices LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLINICAL HEALING AND MINDFULNESS PRACTICES LLC

Practice address

1424 Gust LN
Chesapeake, VA 23323-2906

Phone

(540) 250-0611

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Anna Smith, LPCNPI 1447994132

Title

Co-Owner/ Provider

Phone

(540) 250-0611

Specialties & licenses 1

Addresses

Other names 1

• CHAMP LLC Other name

Practitioners 1

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

• Anna Katherine Smith, LPC

  • Professional Counselor
  • Chesapeake, VA
  • NPI 1447994132
  NPD Authorized official

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1992401103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 GUST LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232906",
            "telephone_number": "540-250-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 GUST LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232906",
            "telephone_number": "540-250-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL HEALING AND MINDFULNESS PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CO-OWNER/ PROVIDER",
        "authorized_official_telephone_number": "540-250-0611",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMP LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.