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Organization

Mindful Restoration Services LLC

NPI Record: ActiveCounselor — Professional
NPI1184218737
Shorewood, Wisconsin

Provider's NPPES record last updated: June 11, 2024

Overview

Entity Type
Organization
NPI
1184218737
Primary Specialty
Counselor — Professional
Practice Location
Shorewood, Wisconsin
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:32 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Counselor

    Professional

    Behavioral Health & Social Service Providers

    Primary

    Definition to come...

    Taxonomy code 101YP2500X
  • Clinic/Center

    Adult Mental Health

    Ambulatory Health Care Facilities

    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

    Taxonomy code 261QM0850X

Practice Locations

Practice Location

4465 N Oakland Ave Unit 310

Shorewood, Wisconsin 53211-1662

Phone: (414) 939-6540

Additional Practice Location

500 W Silver Spring Dr Ste K200

Glendale, Wisconsin 53217-5052

Phone: (414) 939-6540

Fax: (262) 946-0346

Other Names

  • Mindful Restoration CounselingReported February 13, 2024

Record Information

Enumeration Date
February 24, 2021
Provider's NPPES Record Last Updated
June 11, 2024
Certification Date
June 11, 2024
NPISignal NPPES Dataset
August 2026

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