MINDFUL MOMENTS NPI 1417750878

NPI Information

  • NPI: 1417750878
  • Provider Name: MINDFUL MOMENTS
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 16649 OAK PARK AVE STE H
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (312) 768-8090

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NPI Details

MINDFUL MOMENTS is a clinical social worker in Tinley Park, IL. 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 MOMENTS NPI is 1417750878. The provider is registered as an organization entity type.

The provider's business location address is:

16649 OAK PARK AVE STE H
TINLEY PARK, IL
ZIP 60477-843
Phone: (312) 768-8090

The provider's authorized official is Tenilya Mumphus .
The authorized official title is Owner/ceo and has the following contact phone number (312) 931-5157.

The enumeration date for this NPI number is 3/31/2025 and was last updated on 8/14/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
21041C0700XSocial 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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