MINDSPACE COUNSELING LLC
NPI 1740937655
Social Worker - Clinical in St Augustine, FL

Active since March 10, 2022
204 BRANTLEY HARBOR DR, ST AUGUSTINE, FL 32086(203) 490-6860(904) 574-4096 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindspace Counseling Llc NPPES

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

MINDSPACE COUNSELING LLC (NPI 1740937655) is a healthcare organization registered as a clinical in St Augustine, Florida and active in the NPI registry since March 2022. The organization lists Dani M Dimitrova, Owner, as its authorized official.

NPPES Registry Identity

NPI1740937655
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDSPACE COUNSELING LLC
Location Address204 BRANTLEY HARBOR DRSt Augustine, FL 32086-1822
Mailing Address204 Brantley Harbor DrSt Augustine, FL 32086-1822 · (203) 300-3335 · Fax (904) 574-4096
Fax(904) 574-4096
Organization SubpartNo
Authorized OfficialDani M DimitrovaOwner · (203) 300-3335
Enumeration DateMarch 10, 2022
NPPES CertifiedMarch 9, 2022
NPI 1740937655 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.
204 BRANTLEY HARBOR DR, St Augustine, FL 32086

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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
204 BRANTLEY HARBOR DR
SAINT AUGUSTINE, FL 32086

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 Mindspace Counseling LLC's NPI number?

The NPI number for Mindspace Counseling LLC is 1740937655. It was assigned to this organization in the NPPES registry on March 10, 2022.

Where is Mindspace Counseling LLC located?

Mindspace Counseling LLC is located at 204 Brantley Harbor Dr, St Augustine, FL 32086. The listed phone number is (203) 490-6860.

What is Mindspace Counseling LLC's specialty?

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

What insurance does Mindspace Counseling LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mindspace Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mindspace Counseling LLC was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.