MINDFUL INNOVATIONS LLC
NPI 1194422907
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ruckersville, VA
About Mindful Innovations Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL INNOVATIONS LLC (NPI 1194422907) is a healthcare organization registered as a mental health (including community mental health center) in Ruckersville, Virginia and active in the NPI registry since February 2023. The organization lists William Ryan Mccoull, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Innovations 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 Innovations LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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 Innovations LLC's NPI number?
The NPI number for Mindful Innovations LLC is 1194422907. It was assigned to this organization in the NPPES registry on February 13, 2023.
Where is Mindful Innovations LLC located?
Mindful Innovations LLC is located at 106 Vista Heights Dr, Ruckersville, VA 22968. The listed phone number is (804) 723-6463.
What is Mindful Innovations LLC'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 Innovations LLC enrolled in Medicare?
Yes. Mindful Innovations LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Innovations LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mindful Innovations LLC, in Clinical Social Worker and Mental Health Counselor. 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, 2 practice at this address. 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 Innovations LLC was last updated on June 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 Innovations Llc · NPI 1194422907
Mental Health (Including Community Mental Health Center) organization in Ruckersville, Virginia. Organization record, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1194422907 (Entity type: Organization)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** William Mccoull, OWNER
## Practice location
- **Address:** 106 VISTA HEIGHTS DR, Ruckersville, VA 22968-9510
- **Phone:** (804) 723-6463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (2), Clinical Social Worker (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194422907) · Data from the CMS NPPES public registry.