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MIND AND BODY HEALTHCARE
NPI 1043884992
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, TN

Active since May 15, 2021
137 TERRACE PL, JACKSON, TN 38301(731) 435-3060 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2021, May 15, 2021 (2 updates tracked since 2021).

About Mind And Body Healthcare NPPES

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

MIND AND BODY HEALTHCARE (NPI 1043884992) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Tennessee and active in the NPI registry since May 2021. The organization lists Lori Kay Jenkins, Owner/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1043884992
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMIND AND BODY HEALTHCARE
Location Address137 TERRACE PLJackson, TN 38301-4836
Mailing Address137 Terrace PlJackson, TN 38301-4836 · (731) 435-3060
Phone(731) 435-3060
Organization SubpartNo
Authorized OfficialLori Kay JenkinsOwner/ Nurse Practitioner · (731) 435-3060
Enumeration DateMay 15, 2021
Last NPPES UpdateJuly 25, 20212 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
✔ NPI 1043884992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
137 TERRACE PL, Jackson, TN 38301
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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220323002101Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mind And Body Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lori Jenkins, PMHNP-BC, FNP-BC
Nurse Practitioner
NPI 1740284728
137 TERRACE PL
Jackson, TN 38301
(731) 435-3060
✔ PECOS✔ Accepts MedicareSame address

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 And Body Healthcare's NPI number?

The NPI number for Mind And Body Healthcare is 1043884992. It was assigned to this organization in the NPPES registry on May 15, 2021.

Where is Mind And Body Healthcare located?

Mind And Body Healthcare is located at 137 Terrace Pl, Jackson, TN 38301. The listed phone number is (731) 435-3060.

What is Mind And Body Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mind And Body Healthcare enrolled in Medicare?

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

When is Mind And Body Healthcare's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mind And Body Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mind And Body Healthcare. 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 Mind And Body Healthcare was last updated on July 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.