Healthcare Provider Details

I. General information

NPI: 1508790510
Provider Name (Legal Business Name): MINDFUL ELEMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10026 W 82ND PL
ARVADA CO
80005-5215
US

IV. Provider business mailing address

10026 W 82ND PL
ARVADA CO
80005-5215
US

V. Phone/Fax

Practice location:
  • Phone: 719-800-2005
  • Fax:
Mailing address:
  • Phone: 719-800-2005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PROF. TRISHA JOHNSON
Title or Position: FOUNDER/PRESIDENT
Credential: LPC
Phone: 719-800-2005