MANDALA THERAPEUTIC SERVICES
NPI 1053878413
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ashland, KY
About Mandala Therapeutic Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDALA THERAPEUTIC SERVICES (NPI 1053878413) is a healthcare organization registered as a mental health (including community mental health center) in Ashland, Kentucky and active in the NPI registry since February 2019. The organization lists Jennifer Smith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted 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)
Mandala Therapeutic Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Mandala Therapeutic Services, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 Mandala Therapeutic Services's NPI number?
The NPI number for Mandala Therapeutic Services is 1053878413. It was assigned to this organization in the NPPES registry on February 21, 2019.
Where is Mandala Therapeutic Services located?
Mandala Therapeutic Services is located at 1201 Saint Christopher Dr, Ashland, KY 41101. The listed phone number is (606) 388-2898.
What is Mandala Therapeutic Services'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 Mandala Therapeutic Services enrolled in Medicare?
Yes. Mandala Therapeutic Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mandala Therapeutic Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Mandala Therapeutic Services. 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. The largest specialties are Clinical Social Worker (5) and Mental Health Counselor (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mandala Therapeutic Services accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mandala Therapeutic Services 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 Mandala Therapeutic Services was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mandala Therapeutic Services · NPI 1053878413
Mental Health (Including Community Mental Health Center) organization in Ashland, Kentucky. Organization record, active in the CMS NPPES registry since February 21, 2019.
## Identity
- **NPI:** 1053878413 (Entity type: Organization)
- **Enumerated:** February 21, 2019
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jennifer Smith, OWNER
## Practice location
- **Address:** 1201 SAINT CHRISTOPHER DR, Ashland, KY 41101-7064
- **Phone:** (606) 388-2898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (5), Mental Health Counselor (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053878413) · Data from the CMS NPPES public registry.