MINDFUL LIFE PSYCHOTHERAPY LLC
NPI 1003380684
Social Worker - Clinical in Mansfield, MA

Q: What is Mindful Life Psychotherapy LLC's NPI number?

The NPI number for Mindful Life Psychotherapy LLC is 1003380684. It was assigned to this organization in the NPPES registry on January 16, 2019.

Q: What is Mindful Life Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 16, 2019

200 CHAUNCY ST STE 113, MANSFIELD, MA 02048(508) 724-1025(508) 552-9976 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Aug 26, 2021, Jan 16, 2019 (3 updates tracked since 2019).

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About Mindful Life Psychotherapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL LIFE PSYCHOTHERAPY LLC (NPI 1003380684) is a healthcare organization registered as a clinical in Mansfield, Massachusetts and active in the NPI registry since January 2019. The organization lists Kathi Hennessey, Owner, as its authorized official.

NPPES Registry Identity

NPI1003380684

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMINDFUL LIFE PSYCHOTHERAPY LLC

Location Address200 CHAUNCY ST STE 113Mansfield, MA 02048-1200

Mailing Address200 Chauncy St Ste 113Mansfield, MA 02048-1200 · (508) 724-1025 · Fax (508) 552-9976

Phone(508) 724-1025

Fax(508) 552-9976

Organization SubpartNo

Authorized OfficialKathi HennesseyOwner · (508) 784-1025

Enumeration DateJanuary 16, 2019

Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1003380684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

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.

200 CHAUNCY ST STE 113, Mansfield, MA 02048

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE SANTOS-SPENCER MS, LMFT

Marriage & Family Therapist