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MENDING MIND WELLNESS, LLC
NPI 1073228326
Counselor - Mental Health in Concord, NH

Active since January 20, 2023
4 PARK ST STE 403, CONCORD, NH 03301(978) 225-3442 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2026, Feb 10, 2023, Jan 20, 2023 (3 updates tracked since 2023).

About Mending Mind Wellness, Llc NPPES

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

MENDING MIND WELLNESS, LLC (NPI 1073228326) is a healthcare organization registered as a mental health in Concord, New Hampshire and active in the NPI registry since January 2023. The organization maintains 5 additional practice locations and lists Sydney Desrochers, Owner, as its authorized official.

NPPES Registry Identity

NPI1073228326
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMENDING MIND WELLNESS, LLC
Location Address4 PARK ST STE 403Concord, NH 03301-6313
Mailing Address1045 Elm St Ste 401Manchester, NH 03101-1824 · (978) 225-3442
Phone(978) 225-3442
Organization SubpartNo
Authorized OfficialSydney DesrochersOwner · (978) 886-4598
Enumeration DateJanuary 20, 2023
Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1073228326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4 PARK ST STE 403, Concord, NH 03301
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1636 W Main St Ste 1ETilton, NH 03276-5031 · Phone (978) 225-3442
Location 2124 Hall St, Ste J3 & J5Concord, NH 03301 · Phone (978) 225-3442
Location 3322 W Main StTilton, NH 03276-5037 · Phone (978) 225-3442
Location 41045 Elm St Ste 401Manchester, NH 03101-1824 · Phone (978) 225-3442
Location 5131 Lake St Unit 15Laconia, NH 03246-2129 · Phone (978) 225-3442

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mending Mind Wellness, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Jennifer Hewitt, BS
Mental Health Counselor
NPI 1659546091
111 CHURCH ST
Laconia, NH 03246
(603) 524-1100
✔ PECOS✔ Accepts Medicare12 mi
Lauri Johnson, MSW
Clinical Social Worker
NPI 1225678154
105 LOUDON RD
Concord, NH 03301
(603) 228-0547
✔ PECOS✔ Accepts Medicare13 mi
Robin Raycraft, LCMHC
Mental Health Counselor
NPI 1326583121
24 HALL ST
Concord, NH 03301
(036) 810-0669
✔ PECOS✔ Accepts Medicare14 mi
Katherine Miller Diglio, MSW, LICSW
Clinical Social Worker
NPI 1306150438
1045 ELM ST STE 401
Manchester, NH 03101
(978) 225-3442
✔ PECOS28 mi
Samantha Houser, LICSW
Clinical Social Worker
NPI 1902456528
1045 ELM ST STE 401
Manchester, NH 03101
(978) 225-3442
✔ PECOS28 mi
Sydney Venuti, LICSW
Clinical Social Worker
NPI 1346732625
1045 ELM ST STE 401
Manchester, NH 03101
(978) 225-3442
✔ PECOS✔ Accepts Medicare28 mi
Amy Bonneau, LICSW
Clinical Social Worker
NPI 1568839991
59 GRENIER ST BLDG 1509
Hanscom Afb, MA 01730
(339) 202-6194
✔ PECOS✔ Accepts Medicare66 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 Mending Mind Wellness, LLC's NPI number?

The NPI number for Mending Mind Wellness, LLC is 1073228326. It was assigned to this organization in the NPPES registry on January 20, 2023.

Where is Mending Mind Wellness, LLC located?

Mending Mind Wellness, LLC is located at 4 Park St Ste 403, Concord, NH 03301. The listed phone number is (978) 225-3442.

What is Mending Mind Wellness, LLC's specialty?

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

Is Mending Mind Wellness, LLC enrolled in Medicare?

Yes. Mending Mind Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mending Mind Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Mending Mind Wellness, 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. The largest specialties are Clinical Social Worker (5) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mending Mind Wellness, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Mending Mind Wellness, 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 Mending Mind Wellness, LLC was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.