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THE MINDFUL GOLDFISH LLC
NPI 1780560482
Social Worker - Clinical in Carson City, NV

Active since August 15, 2025
777 E WILLIAM ST STE 108, CARSON CITY, NV 89701(775) 400-2660 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Mindful Goldfish Llc NPPES

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

THE MINDFUL GOLDFISH LLC (NPI 1780560482) is a healthcare organization registered as a clinical in Carson City, Nevada and active in the NPI registry since August 2025. The organization lists Shannon Lee Kossick, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1780560482
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE MINDFUL GOLDFISH LLC
Location Address777 E WILLIAM ST STE 108Carson City, NV 89701-4057
Mailing Address1111 S Roop St Unit 241Carson City, NV 89702-7110 · (775) 400-2660
Phone(775) 400-2660
Organization SubpartNo
Authorized OfficialShannon Lee KossickOwner/manager · (916) 751-9899
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1780560482 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.
777 E WILLIAM ST STE 108, Carson City, NV 89701
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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

Other Providers at the Same Location NPPES

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

SHANNON LEE KOSSICK LCSW, LCADC
Social Worker (Clinical)
777 E WILLIAM ST STE 108
CARSON CITY, NV 89701
Carson City (775) 400-2660

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 The Mindful Goldfish LLC's NPI number?

The NPI number for The Mindful Goldfish LLC is 1780560482. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is The Mindful Goldfish LLC located?

The Mindful Goldfish LLC is located at 777 E William St Ste 108, Carson City, NV 89701. The listed phone number is (775) 400-2660.

What is The Mindful Goldfish LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for The Mindful Goldfish LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.