MINDFUL HAVEN LLC
NPI 1184596801
Nurse Practitioner - Psychiatric/Mental Health in Nottingham, MD
About Mindful Haven Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL HAVEN LLC (NPI 1184596801) is a healthcare organization registered as a psychiatric/mental health in Nottingham, Maryland and active in the NPI registry since September 2025. The organization lists Latoya Victor, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Haven Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Mindful Haven LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Haven LLC's NPI number?
The NPI number for Mindful Haven LLC is 1184596801. It was assigned to this organization in the NPPES registry on September 22, 2025.
Where is Mindful Haven LLC located?
Mindful Haven LLC is located at 9524 Belair Rd, Nottingham, MD 21236. The listed phone number is (410) 630-8292.
What is Mindful Haven LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindful Haven LLC enrolled in Medicare?
Yes. Mindful Haven LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Haven LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mindful Haven 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. Of these, 1 practice within 10 miles. 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 Haven LLC was last updated on September 22, 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 Haven Llc · NPI 1184596801
Psychiatric/Mental Health organization in Nottingham, Maryland. Organization record, active in the CMS NPPES registry since September 22, 2025.
## Identity
- **NPI:** 1184596801 (Entity type: Organization)
- **Enumerated:** September 22, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Latoya Victor, CO-OWNER
## Practice location
- **Address:** 9524 BELAIR RD, Nottingham, MD 21236-1544
- **Phone:** (410) 630-8292
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1184596801) · Data from the CMS NPPES public registry.