MINDWIRE THERAPY, INC (NPI# 1780095968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780095968 |
| Entity Type | Organization |
| Organization Name | MINDWIRE THERAPY, INC |
| Other Organization Name | MINDWIRE |
| Practice Address |
401 Corbett St Suite 460 Belleair FL 33756-7309 |
| Practice Telephone | 7273866495 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |
| Authorized Official Name | ALEXANDRA THEIS (CEO) |
| Authorized Official Telephone | 4072235423 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH11558 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH11310 | FL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| MindWire | Other Name - Individual/Organization |
| Street Address |
401 CORBETT ST SUITE 460 |
| City | BELLEAIR |
| State | FL |
| Zip Code | 33756-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194178889 | Renviva Dialysis Center of Clearwater | Clinic/Center | 401 Corbett St, Suite 250, Belleair, FL 33756-7309 | 2016-07-18 |
| 1811367923 | Gold Primary Care, LLC | Clinic/Center | 401 Corbett St, Suite 320, Belleair, FL 33756-7309 | 2015-10-01 |
| 1679906978 | Kenneth Rigsby | Social Worker | 401 Corbett St, Suite 340b, Belleair, FL 33756-7309 | 2013-08-10 |
| 1447690409 | Cathy Christmas | Social Worker | 401 Corbett St, 340b, Belleair, FL 33756-7309 | 2013-07-04 |
| 1063754778 | Gastrointestinal Ambulatory Services LLC | Anesthesiology | 401 Corbett St, Ste 220, Belleair, FL 33756-7309 | 2013-03-20 |
| 1083951743 | Clearwater Anesthesia Service Specialists LLC | Anesthesiology | 401 Corbett St, Ste 220, Belleair, FL 33756-7309 | 2013-01-14 |
| 1265704167 | Tonia M Badura | Nurse Practitioner | 401 Corbett St, Belleair, FL 33756 | 2012-02-08 |
| 1184910234 | Kay Knight Hanley | Pediatrics | 401 Corbett St, Suite 210, Belleair, FL 33756-7309 | 2011-06-27 |
| 1023304177 | John Patrick Hanley IIi | Pediatrics | 401 Corbett St, Suite 210, Belleair, FL 33756-7309 | 2011-06-27 |
| 1912206863 | Gulfside Anesthesia Services LLC | Anesthesiology | 401 Corbett St, Ste 220, Belleair, FL 33756-7302 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992983084 | Paola Rojas | Counselor | 401 Corbett St Ste 340b, Belleair, FL 33756-7312 | 2008-01-31 |
| 1821134800 | Lorelei Keif | Counselor | 401 Corbett St, Suite 300, Belleair, FL 33756-7309 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.