MINDFUL HEALING GROUP
NPI 1154191328
Clinic/Center - Mental Health (Including Community Mental Health Center) in New York, NY

Active since January 08, 2024
136 MADISON AVE, NEW YORK, NY 10016(910) 818-4957(910) 500-5238 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2025, Jul 26, 2024 (2 updates tracked since 2024).

About Mindful Healing Group NPPES

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

MINDFUL HEALING GROUP (NPI 1154191328) is a healthcare organization registered as a mental health (including community mental health center) in New York, New York and active in the NPI registry since January 2024. The organization lists Jerry Bell Cunningham, Coo, as its authorized official.

NPPES Registry Identity

NPI1154191328
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDFUL HEALING GROUP
Location Address136 MADISON AVENew York, NY 10016-6711
Mailing Address5000 Centre Green Way Ste 500Cary, NC 27513-5821 · (910) 302-6740
Fax(910) 500-5238
Organization SubpartNo
Authorized OfficialJerry Bell CunninghamCoo · (910) 209-4122
Enumeration DateJanuary 8, 2024
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1154191328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
136 MADISON AVE, New York, NY 10016

Other Names 1

Other NameMindful Healing Llc

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 Healing Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindful Healing Group, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1376310441
8506 SIX FORKS RD STE 202
Raleigh, NC 27615
(919) 297-2762
✔ PECOS420 mi
Nurse Practitioner
NPI 1851123293
8506 SIX FORKS RD STE 202
Raleigh, NC 27615
(919) 297-2762
✔ PECOS420 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 Healing Group's NPI number?

The NPI number for Mindful Healing Group is 1154191328. It was assigned to this organization in the NPPES registry on January 8, 2024. The provider is also known as Mindful Healing LLC.

Where is Mindful Healing Group located?

Mindful Healing Group is located at 136 Madison Ave, New York, NY 10016. The listed phone number is (910) 818-4957.

What is Mindful Healing Group'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 Mindful Healing Group enrolled in Medicare?

Yes. Mindful Healing Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Healing Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindful Healing Group. 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 Healing Group accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Mindful Healing Group 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 Healing Group was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.