CEDAR PARK MINDFULNESS COUNSELING NPI 1659911154

NPI Information

  • NPI: 1659911154
  • Provider Name: CEDAR PARK MINDFULNESS COUNSELING
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 3016 POLAR LN STE 407
    CEDAR PARK, TX
    ZIP 78613
  • Phone: (512) 309-1718

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NPI Details

CEDAR PARK MINDFULNESS COUNSELING is an adult mental health clinic center in Cedar Park, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CEDAR PARK MINDFULNESS COUNSELING NPI is 1659911154. The provider is registered as an organization entity type.

The provider's business location address is:

3016 POLAR LN STE 407
CEDAR PARK, TX
ZIP 78613-050
Phone: (512) 309-1718

The provider's authorized official is Micah Jaksik .
The authorized official title is Owner and has the following contact phone number (830) 456-4101.

The enumeration date for this NPI number is 1/13/2020 and was last updated on 1/13/2020.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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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