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MINDFUL LIFE PRACTICE, LLC
NPI 1053781765
Social Worker - Clinical in Traverse City, MI

Active since October 07, 2015
221 GARLAND ST, TRAVERSE CITY, MI 49684(231) 486-0805 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mindful Life Practice, Llc NPPES

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

MINDFUL LIFE PRACTICE, LLC (NPI 1053781765) is a healthcare organization registered as a clinical in Traverse City, Michigan and active in the NPI registry since October 2015. The organization lists Linda Smith, Partner, as its authorized official.

NPPES Registry Identity

NPI1053781765
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL LIFE PRACTICE, LLC
Location Address221 GARLAND STTraverse City, MI 49684-2372
Mailing Address221 Garland StTraverse City, MI 49684-2372 · (231) 486-0805
Phone(231) 486-0805
Organization SubpartNo
Authorized OfficialLinda SmithPartner · (231) 486-0805
Enumeration DateOctober 7, 2015
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1053781765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801092522✔ Licensed in MI · 6801093556
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401009566 (MI)
221 GARLAND ST, Traverse City, MI 49684
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Mindful Life Practice, 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 Mindful Life Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Linda Smith, LMSW
Clinical Social Worker
NPI 1407154719
221 GARLAND ST SUITE J
Traverse City, MI 49684
(231) 486-0805
✔ PECOSSame address
Stephanie Berger, LMSW
Clinical Social Worker
NPI 1336420108
1050 SILVER DR
Traverse City, MI 49684
(231) 947-2255
✔ PECOS✔ Accepts Medicare1.3 mi
Paula Kilcherman, LMSW
Clinical Social Worker
NPI 1982072245
1050 SILVER DR
Traverse City, MI 49684
(231) 947-2255
✔ PECOS1.3 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 Life Practice, LLC's NPI number?

The NPI number for Mindful Life Practice, LLC is 1053781765. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Mindful Life Practice, LLC located?

Mindful Life Practice, LLC is located at 221 Garland St, Traverse City, MI 49684. The listed phone number is (231) 486-0805.

What is Mindful Life Practice, LLC's specialty?

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

Is Mindful Life Practice, LLC enrolled in Medicare?

Yes. Mindful Life Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Life Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Mindful Life Practice, 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindful Life Practice, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mindful Life Practice, LLC 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 Mindful Life Practice, LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.