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MINDFUL CHANGE COUNSELING LLC
NPI 1053116236
Social Worker - Clinical in Moorestown, NJ

Active since February 13, 2025
219 HIGH ST, MOORESTOWN, NJ 08057(609) 320-1332 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mindful Change Counseling Llc NPPES

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

MINDFUL CHANGE COUNSELING LLC (NPI 1053116236) is a healthcare organization registered as a clinical in Moorestown, New Jersey and active in the NPI registry since February 2025. The organization lists Maura Rafferty, Owner, as its authorized official.

NPPES Registry Identity

NPI1053116236
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL CHANGE COUNSELING LLC
Location Address219 HIGH STMoorestown, NJ 08057-3505
Mailing Address219 High StMoorestown, NJ 08057-3505 · (609) 320-1332
Phone(609) 320-1332
Organization SubpartNo
Authorized OfficialMaura RaffertyOwner · (609) 320-1332
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1053116236 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.
219 HIGH ST, Moorestown, NJ 08057
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Change 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 Change Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maura Rafferty, LCSW
Clinical Social Worker
NPI 1013675651
1878 MARLTON PIKE E STE 5
Cherry Hill, NJ 08003
(856) 375-2440
✔ PECOS✔ Accepts Medicare5.5 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 Mindful Change Counseling LLC's NPI number?

The NPI number for Mindful Change Counseling LLC is 1053116236. It was assigned to this organization in the NPPES registry on February 13, 2025.

Where is Mindful Change Counseling LLC located?

Mindful Change Counseling LLC is located at 219 High St, Moorestown, NJ 08057. The listed phone number is (609) 320-1332.

What is Mindful Change Counseling LLC's specialty?

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

Is Mindful Change Counseling LLC enrolled in Medicare?

Yes. Mindful Change Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Change Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful Change 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 Change Counseling LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.