MINDFUL THERAPY LLC NPI 1467980300

NPI Information

  • NPI: 1467980300
  • Provider Name: MINDFUL THERAPY, LLC
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Organization
  • Address: 122 N MAPLE ST
    ITHACA, MI
    ZIP 48847
  • Phone: (989) 388-4185

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NPI Details

MINDFUL THERAPY, LLC is a case manager care coordinator in Ithaca, MI. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. MINDFUL THERAPY, LLC NPI is 1467980300. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

122 N MAPLE ST
ITHACA, MI
ZIP 48847-024
Phone: (989) 388-4185
Fax: (989) 388-4187

The provider's authorized official is Audrey Ann Wendt .
The authorized official title is Executive Director/owner and has the following contact phone number (989) 388-4185.

The enumeration date for this NPI number is 5/23/2017 and was last updated on 9/11/2025.

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
1171M00000XCase Manager/Care CoordinatorSA0290035MICHIGANNo
2101YA0400XCounselorAddiction (Substance Use Disorder)SA0290035MICHIGANNo
3101YA0400XCounselorAddiction (Substance Use Disorder)SA0190019MICHIGANNo
4101YM0800XCounselorMental HealthSA0290035MICHIGANNo
5101YM0800XCounselorMental HealthSA0190019MICHIGANNo
6171M00000XCase Manager/Care CoordinatorSA0190019MICHIGANYes

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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