MIND REJUVENATION THERAPY
NPI 1295299170
Social Worker - Clinical in New York, NY

Q: What is Mind Rejuvenation Therapy's NPI number?

The NPI number for Mind Rejuvenation Therapy is 1295299170. It was assigned to this organization in the NPPES registry on January 25, 2019.

Q: What is Mind Rejuvenation Therapy's specialty?

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

Active since January 25, 2019

57 SAINT MARKS PL, NEW YORK, NY 10003(347) 620-3477 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mind Rejuvenation Therapy NPPES

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

MIND REJUVENATION THERAPY (NPI 1295299170) is a healthcare organization registered as a clinical in New York, New York and active in the NPI registry since January 2019. The organization lists Jacklyn Krol, Psychotherapist/owner, as its authorized official.

NPPES Registry Identity

NPI1295299170

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMIND REJUVENATION THERAPY

Location Address57 SAINT MARKS PLNew York, NY 10003-7902

Mailing Address57 Saint Marks PlNew York, NY 10003-7902

Phone(347) 620-3477

Organization SubpartNo

Authorized OfficialJacklyn KrolPsychotherapist/owner · (347) 620-3477

Enumeration DateJanuary 25, 2019

✔ NPI 1295299170 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.

57 SAINT MARKS PL, New York, NY 10003

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Other Names 1

Doing Business AsMind Rejuvenation Therapy

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. ROBERT JOSEPH MIELA

Counselor (Addiction (Substance Use Disorder))