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MIND BODY RISE
NPI 1003481755
Social Worker - Clinical in Stonington, CT

Active since May 25, 2021
808 STONINGTON RD STE 200, STONINGTON, CT 06378(860) 535-9922 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Nov 4, 2021, Jul 1, 2021 and 1 more (4 updates tracked since 2021).

About Mind Body Rise NPPES

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

MIND BODY RISE (NPI 1003481755) is a healthcare organization registered as a clinical in Stonington, Connecticut and active in the NPI registry since May 2021. The organization lists Terri Fogg Donovan, Owner, as its authorized official.

NPPES Registry Identity

NPI1003481755
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND BODY RISE
Location Address808 STONINGTON RD STE 200Stonington, CT 06378-2517
Mailing Address808 Stonington RdStonington, CT 06378-2530 · (860) 535-9922
Phone(860) 535-9922
Organization SubpartNo
Authorized OfficialTerri Fogg DonovanOwner · (860) 912-9584
Enumeration DateMay 25, 2021
Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1003481755 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.
808 STONINGTON RD STE 200, Stonington, CT 06378
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mind Body Rise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Mind Body Rise, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker6
Mental Health Counselor3
Marriage and Family Therapist2
Nurse Practitioner1

Clinicians, nearest first (12)

Pamela Mirante, L.C.S.W.
Clinical Social Worker
NPI 1003940917
808 STONINGTON RD STE 200
Stonington, CT 06378
(860) 204-6589
✔ PECOSSame address
Linda Cunningham
Clinical Social Worker
NPI 1043809411
85 BEACH ST
Westerly, RI 02891
(401) 714-9824
✔ PECOS✔ Accepts Medicare3.3 mi
Peter Drake
Mental Health Counselor
NPI 1528689171
147 HANGMAN HILL RD
North Stonington, CT 06359
✔ PECOS✔ Accepts Medicare7.9 mi
Karen Ethier-Waring, LMFT
Marriage and Family Therapist
NPI 1003824012
591 POQUONNOCK ROAD CHILD & FAMILY AGENCY
Groton, CT 06340
(860) 449-8217
✔ PECOS✔ Accepts Medicare9.0 mi
Tammy Bogue, MFT
Marriage and Family Therapist
NPI 1912191727
255 HEMPSTEAD ST
New London, CT 06320
(860) 443-2896
✔ PECOS✔ Accepts Medicare11 mi
Meredith Mcginn, LPC
Mental Health Counselor
NPI 1639941289
365 MONTAUK AVE
New London, CT 06320
(860) 514-8833
✔ PECOS11 mi
Nancy Pearce, LCSW
Clinical Social Worker
NPI 1831871953
365 MONTAUK AVE
New London, CT 06320
(860) 442-0711
✔ PECOS✔ Accepts Medicare11 mi
Briana Padewski
Mental Health Counselor
NPI 1417560244
101 WATER ST FL 2
Norwich, CT 06360
(860) 425-5258
✔ PECOS15 mi
Susan Donovan, APRN
Nurse Practitioner
NPI 1386317774
950 CAMPBELL AVE
West Haven, CT 06516
(203) 932-5711
✔ PECOS56 mi
Diane Reas, LICSW
Clinical Social Worker
NPI 1982818654
11 MIDSTATE DR STE 3
Auburn, MA 01501
(781) 551-0999
✔ PECOS✔ Accepts Medicare58 mi
Lisa Heuschkel
Clinical Social Worker
NPI 1982831335
1061 E MAIN ST
Torrington, CT 06790
(860) 489-3391
✔ PECOS✔ Accepts Medicare70 mi
Cynthia Palma, LCSW
Clinical Social Worker
NPI 1649466590
46 LINCOLN AVE 3RD FLOOR
Poughkeepsie, NY 12601
(845) 452-2372
✔ PECOS✔ Accepts Medicare109 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mind Body Rise's NPI number?

The NPI number for Mind Body Rise is 1003481755. It was assigned to this organization in the NPPES registry on May 25, 2021.

Where is Mind Body Rise located?

Mind Body Rise is located at 808 Stonington Rd Ste 200, Stonington, CT 06378. The listed phone number is (860) 535-9922.

What is Mind Body Rise's specialty?

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

Is Mind Body Rise enrolled in Medicare?

Yes. Mind Body Rise is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Body Rise?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Mind Body Rise. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (3) and Marriage and Family Therapist (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mind Body Rise accept?

Health plans from Anthem Blue Cross and Blue Shield list Mind Body Rise 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 Mind Body Rise was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.