MINDFUL SOLUTIONS, LLC
NPI 1083176218
Counselor - Professional in Jackson, MS
About Mindful Solutions, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL SOLUTIONS, LLC (NPI 1083176218) is a healthcare organization registered as a professional in Jackson, Mississippi and active in the NPI registry since April 2019. The organization lists Sherry Bouldin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
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 Solutions, 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 Solutions, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Solutions, LLC's NPI number?
The NPI number for Mindful Solutions, LLC is 1083176218. It was assigned to this organization in the NPPES registry on April 5, 2019.
Where is Mindful Solutions, LLC located?
Mindful Solutions, LLC is located at 4500 I 55 N Ste 208, Jackson, MS 39211. The listed phone number is (601) 292-6260.
What is Mindful Solutions, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mindful Solutions, LLC enrolled in Medicare?
Yes. Mindful Solutions, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Solutions, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mindful Solutions, 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 Solutions, LLC was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mindful Solutions, Llc · NPI 1083176218
Professional organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1083176218 (Entity type: Organization)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Also known as:** Mindful Solutions, LLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Sherry Bouldin, OWNER
## Practice location
- **Address:** 4500 I 55 N STE 208, Jackson, MS 39211-5931
- **Phone:** (601) 292-6260 · **Fax:** (601) 487-8115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1083176218) · Data from the CMS NPPES public registry.