MINDFUL COUNSELING CENTER
NPI 1164832192
Social Worker - Clinical in Egg Harbor Township, NJ

Active since April 29, 2014
3069 ENGLISH CREEK AVE, SUITE 224, EGG HARBOR TOWNSHIP, NJ 08234(609) 780-3570 Get Directions Write a Review

NPPES record last updated: January 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2019, Jan 18, 2019 (2 updates tracked since 2019).

About Mindful Counseling Center NPPES

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

MINDFUL COUNSELING CENTER (NPI 1164832192) is a healthcare organization registered as a clinical in Egg Harbor Township, New Jersey and active in the NPI registry since April 2014. The organization lists Patrick R Connelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1164832192
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL COUNSELING CENTER LLC
Location Address3069 ENGLISH CREEK AVE, SUITE 224Egg Harbor Township, NJ 08234-9708
Mailing Address3069 English Creek Ave, Suite 224Egg Harbor Township, NJ 08234-9708 · (609) 780-3570
Organization SubpartNo
Authorized OfficialPatrick R ConnellyOwner · (609) 780-3570
Enumeration DateApril 29, 2014
Last NPPES UpdateJanuary 26, 20192 updates tracked since enumeration
✔ NPI 1164832192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC05182000
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.
3069 ENGLISH CREEK AVE, Egg Harbor Township, NJ 08234

Other Names 1

Other NameMindful Counseling Center

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mindful Counseling Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Clinical Social Worker
NPI 1558156372
3069 ENGLISH CREEK AVE STE 224
Egg Harbor Township, NJ 08234
(609) 377-5859
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730860941
3069 ENGLISH CREEK AVE STE 224
Egg Harbor Township, NJ 08234
(609) 377-5859
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1659432151
501 SCARBOROUGH DR 3RD FLR., EAST WING
Egg Harbor Township, NJ 08234
(609) 646-5142
✔ PECOS✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1952458051
6010 BLACK HORSE PIKE
Egg Harbor Twp, NJ 08234
(609) 272-8580
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Social Worker
NPI 1891067963
400 CHRIS GAUPP DR
Galloway, NJ 08205
(609) 272-8580
✔ PECOS✔ Accepts Medicare5.2 mi
Mental Health Counselor
NPI 1972061919
805 MAPLE AVE
Linwood, NJ 08221
(609) 926-0407
✔ PECOS✔ Accepts Medicare5.6 mi
Clinical Social Worker
NPI 1578680781
607 N JEROME AVE JEWISH FAMILY SERVICE OF ATLANTIC COUNTY
Margate City, NJ 08402
(609) 822-1108
✔ PECOS✔ Accepts Medicare8.4 mi
Clinical Social Worker
NPI 1972690881
607 N JEROME AVE
Margate City, NJ 08402
(609) 822-1108
✔ PECOS✔ Accepts Medicare8.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Counseling Center LLC's NPI number?

The NPI number for Mindful Counseling Center LLC is 1164832192. It was assigned to this organization in the NPPES registry on April 29, 2014. The provider is also known as Mindful Counseling Center.

Where is Mindful Counseling Center LLC located?

Mindful Counseling Center LLC is located at 3069 English Creek Ave Suite 224, Egg Harbor Township, NJ 08234. The listed phone number is (609) 780-3570.

What is Mindful Counseling Center LLC's specialty?

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

Is Mindful Counseling Center LLC enrolled in Medicare?

Yes. Mindful Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Mindful Counseling Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5), Clinical Psychologist (1) and Mental Health Counselor (1). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Counseling Center LLC was last updated on January 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.