MINDFUL WELLNESS COUNSELING, LLC (NPI# 1811524424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811524424 |
| Entity Type | Organization |
| Organization Name | MINDFUL WELLNESS COUNSELING, LLC |
| Practice Address |
27 Hartford Tpke Ste 201 Vernon CT 06066-5245 |
| Mailing Address |
22 Wapping Rd Broad Brook CT 06016-9723 |
| Practice Telephone | 8605590349 |
| Mailing Telephone | 8605590349 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | MONICA SMITH (LICENSED THERAPIST) |
| Authorized Official Telephone | 8605590349 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MINDFUL WELLNESS COUNSELING, LLC | 27 Hartford Turnpike Suite 201, Vernon, CT 06066 |
| Street Address |
27 HARTFORD TPKE STE 201 |
| City | VERNON |
| State | CT |
| Zip Code | 06066-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700110293 | Nancy Patricia Grechko | Psychologist | 27 Hartford Tpke Ste 201, Vernon, CT 06066 | 2009-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467824508 | Stacey Boisselle | Counselor | 60 Old Town Rd Unit 107, Vernon, CT 06066-6404 | 2015-10-28 |
| 1518307727 | Teresa Lesky | Counselor | 12 Clover Ln S, Vernon, NJ 07462-3032 | 2013-07-02 |
| 1902147622 | Erica Yvonne Bower | Counselor | 131 Echo Ridge Dr, Vernon, CT 06066-5909 | 2013-03-05 |
| 1467763060 | Carolyn Prince | Counselor | 16 Great Gorge Ter, Vernon, NJ 07462-3801 | 2010-06-29 |
| 1316276751 | Nancy R Kennedy | Counselor | 141 2nd Avenue, Nw, Vernon, AL 35592 | 2009-12-14 |
| 1861676454 | Lois Ann Reinhardt | Counselor | 529 Route 515 /guthrie Corner, Suite 202, Vernon, NJ 07462 | 2007-12-19 |
| 1912005828 | Jonathan P. Watts | Counselor | 220 Hartford Tpke, Vernon, CT 06066-4701 | 2006-09-21 |
| 1699783043 | Fred C. Fox | Counselor | 1900 Pease St, Suite 310, Vernon, TX 76384-4608 | 2006-08-03 |
| 1821038845 | Sue Ellen Davis | Counselor | 1914 Paradise St, Vernon, TX 76384-8111 | 2006-06-07 |
| 1225642390 | Carol Howell Taylor | Counselor | 1914 Paradise St, Vernon, TX 76384-8111 | 2020-09-04 |
| Find all providers in VERNON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.