MINDFUL SOUL COUNSELING, LLC
NPI 1023617578
Counselor - Professional in Kennebunk, ME
About Mindful Soul Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL SOUL COUNSELING, LLC (NPI 1023617578) is a healthcare organization registered as a professional in Kennebunk, Maine and active in the NPI registry since October 2020. The organization lists Elizabeth G Wallner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindful Soul Counseling, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Soul Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Mindful Soul Counseling, LLC's NPI number?
The NPI number for Mindful Soul Counseling, LLC is 1023617578. It was assigned to this organization in the NPPES registry on October 25, 2020.
Where is Mindful Soul Counseling, LLC located?
Mindful Soul Counseling, LLC is located at 1 Alewive Park Rd, Kennebunk, ME 04043. The listed phone number is (207) 286-5400.
What is Mindful Soul Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mindful Soul Counseling, LLC enrolled in Medicare?
Yes. Mindful Soul Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Soul Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mindful Soul Counseling, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mindful Soul Counseling, LLC was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mindful Soul Counseling, Llc · NPI 1023617578
Professional organization in Kennebunk, Maine. Organization record, active in the CMS NPPES registry since October 25, 2020.
## Identity
- **NPI:** 1023617578 (Entity type: Organization)
- **Enumerated:** October 25, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Wallner, OWNER
## Practice location
- **Address:** 1 ALEWIVE PARK RD, Kennebunk, ME 04043-6134
- **Phone:** (207) 286-5400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023617578) · Data from the CMS NPPES public registry.