MINDFUL ACTIONS LLC NPI 1093080129

NPI Information

  • NPI: 1093080129
  • Provider Name: MINDFUL ACTIONS, LLC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 185 SILAS DEANE HWY
    SUITE # 320
    WETHERSFIELD, CT
    ZIP 06109
  • Phone: (860) 402-0394

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NPI Details

MINDFUL ACTIONS, LLC is a marriage family therapist in Wethersfield, CT. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MINDFUL ACTIONS, LLC NPI is 1093080129. The provider is registered as an organization entity type.

The provider's business location address is:

185 SILAS DEANE HWY
SUITE # 320
WETHERSFIELD, CT
ZIP 06109-219
Phone: (860) 402-0394

The provider's authorized official is Edward J Federici .
The authorized official title is Owner/operator and has the following contact phone number (860) 402-0394.

The enumeration date for this NPI number is 3/22/2012 and was last updated on 6/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health000684CONNECTICUTNo
2101Y00000XCounselorNo
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5103T00000XPsychologistNo
6103TB0200XPsychologistCognitive & BehavioralNo
7103TC1900XPsychologistCounselingNo
8103TF0000XPsychologistFamilyNo
9103TP2701XPsychologistGroup PsychotherapyNo
10104100000XSocial WorkerNo
11106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11093080129MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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