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THE LUMINESCENT MIND, LLC
NPI 1023704947
Counselor - Mental Health in St Petersburg, FL

Active since April 13, 2023
7901 4TH ST N STE 4000, ST PETERSBURG, FL 33702(786) 266-0108 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2023, Apr 13, 2023 (2 updates tracked since 2023).

About The Luminescent Mind, Llc NPPES

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

THE LUMINESCENT MIND, LLC (NPI 1023704947) is a healthcare organization registered as a mental health in St Petersburg, Florida and active in the NPI registry since April 2023. The organization lists Katheryne Puentes, Ceo/founder/lmhc/lmft, as its authorized official.

NPPES Registry Identity

NPI1023704947
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHE LUMINESCENT MIND, LLC
Location Address7901 4TH ST N STE 4000St Petersburg, FL 33702-4305
Mailing Address7901 4th St N Ste 4000St Petersburg, FL 33702-4305 · (786) 266-0108
Phone(786) 266-0108
Organization SubpartNo
Authorized OfficialKatheryne PuentesCeo/founder/lmhc/lmft · (786) 266-0108
Enumeration DateApril 13, 2023
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1023704947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
7901 4TH ST N STE 4000, St Petersburg, FL 33702
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Luminescent Mind, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Luminescent Mind, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Katheryne Puentes
Mental Health Counselor
NPI 1205247459
7901 4TH ST N STE 4000
St Petersburg, FL 33702
(336) 933-1798
✔ PECOS✔ Accepts MedicareSame address
Devon Yanez, NP-C
Nurse Practitioner
NPI 1124586631
3301 N UNIVERSITY DR STE 100
Coral Springs, FL 33065
(754) 757-9977
✔ PECOS✔ Accepts Medicare183 mi
Tara Kellogg
Marriage and Family Therapist
NPI 1023267416
3521 W BROWARD BLVD 3RD FLOOR
Ft Lauderdale, FL 33312
(954) 587-1008
✔ PECOS✔ Accepts Medicare192 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 The Luminescent Mind, LLC's NPI number?

The NPI number for The Luminescent Mind, LLC is 1023704947. It was assigned to this organization in the NPPES registry on April 13, 2023.

Where is The Luminescent Mind, LLC located?

The Luminescent Mind, LLC is located at 7901 4th St N Ste 4000, St Petersburg, FL 33702. The listed phone number is (786) 266-0108.

What is The Luminescent Mind, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is The Luminescent Mind, LLC enrolled in Medicare?

Yes. The Luminescent Mind, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Luminescent Mind, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Luminescent Mind, LLC, in Marriage and Family Therapist, Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Luminescent Mind, LLC was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.