MINDFUL WAY COUNSELING LLC NPI 1336615202

NPI Information

  • NPI: 1336615202
  • Provider Name: MINDFUL WAY COUNSELING, LLC
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 1250 MOORE LAKE DR E STE 152
    FRIDLEY, MN
    ZIP 55432
  • Phone: (612) 389-2332

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NPI Details

MINDFUL WAY COUNSELING, LLC is a clinical social worker in Fridley, MN. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MINDFUL WAY COUNSELING, LLC NPI is 1336615202. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1250 MOORE LAKE DR E STE 152
FRIDLEY, MN
ZIP 55432-135
Phone: (612) 389-2332
Fax: (612) 389-2338

The provider's authorized official is Andrea Patten .
The authorized official title is Director and has the following contact phone number (612) 389-2332.

The enumeration date for this NPI number is 10/18/2018 and was last updated on 9/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family TherapistNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalNo
4103TC0700XPsychologistClinicalNo
51041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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