MINDFUL BALANCE PLLC
NPI 1144104522
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since July 31, 2025
1230 RIVER BEND DR STE 105, DALLAS, TX 75247(723) 665-7059(972) 337-0704 Get Directions Write a Review

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

About Mindful Balance Pllc NPPES

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

MINDFUL BALANCE PLLC (NPI 1144104522) is a healthcare organization registered as a psychiatric/mental health in Dallas, Texas and active in the NPI registry since July 2025. The organization lists Owen B Omoragbon, Owner, as its authorized official.

NPPES Registry Identity

NPI1144104522
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL BALANCE PLLC
Location Address1230 RIVER BEND DR STE 105Dallas, TX 75247-4916
Mailing Address1230 River Bend Dr Ste 105Dallas, TX 75247-4916 · (972) 366-5705
Fax(972) 337-0704
Organization SubpartNo
Authorized OfficialOwen B OmoragbonOwner · (972) 366-5705
Enumeration DateJuly 31, 2025
Last NPPES UpdateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1144104522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1230 RIVER BEND DR STE 105, Dallas, TX 75247

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

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 Balance Pllc 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 Balance PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1114495983
3417 GASTON AVE STE 815
Dallas, TX 75246
(214) 520-7575
✔ PECOS5.1 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 Balance PLLC's NPI number?

The NPI number for Mindful Balance PLLC is 1144104522. It was assigned to this organization in the NPPES registry on July 31, 2025.

Where is Mindful Balance PLLC located?

Mindful Balance PLLC is located at 1230 River Bend Dr Ste 105, Dallas, TX 75247. The listed phone number is (723) 665-7059.

What is Mindful Balance PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mindful Balance PLLC enrolled in Medicare?

Yes. Mindful Balance PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Balance PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Balance PLLC. 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.

What insurance does Mindful Balance PLLC accept?

Health plans from Molina Healthcare list Mindful Balance PLLC 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 Balance PLLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.