MINDFULLY LLC NPI 1972702520

NPI Information

  • NPI: 1972702520
  • Provider Name: MINDFULLY, LLC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • :
  • Address: 1251 NILLES RD STE 5
    FAIRFIELD, OH
    ZIP 45014
  • Phone: (513) 939-0300

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NPI Details

MINDFULLY, LLC is a counselor in Fairfield, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MINDFULLY, LLC NPI is 1972702520. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1251 NILLES RD STE 5
FAIRFIELD, OH
ZIP 45014-205
Phone: (513) 939-0300
Fax: (513) 939-0310

The provider's authorized official is Charles K Roberts .
The authorized official title is Authorized Official and has the following contact phone number (888) 830-0347.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 11/21/2025.

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
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3104100000XSocial WorkerNo
4175T00000XPeer SpecialistNo
5106H00000XMarriage & Family TherapistNo
6171M00000XCase Manager/Care CoordinatorNo
7103T00000XPsychologistNo
8101Y00000XCounselorYes

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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