MIND BODY PROGRAM LLC
NPI 1205084118
Counselor - Professional in Juneau, WI
About Mind Body Program Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND BODY PROGRAM LLC (NPI 1205084118) is a healthcare organization registered as a professional in Juneau, Wisconsin and active in the NPI registry since September 2008. The organization lists Lauri Christine Gebhard, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Mind Body Program Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Mind Body Program LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (9)
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 Mind Body Program LLC's NPI number?
The NPI number for Mind Body Program LLC is 1205084118. It was assigned to this organization in the NPPES registry on September 4, 2008.
Where is Mind Body Program LLC located?
Mind Body Program LLC is located at 199 County Road Df Fl 3, Juneau, WI 53039. The listed phone number is (920) 386-4094.
What is Mind Body Program LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mind Body Program LLC enrolled in Medicare?
Yes. Mind Body Program LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Body Program LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Mind Body Program 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. The largest specialties are Mental Health Counselor (4), Clinical Psychologist (2) and Marriage and Family Therapist (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mind Body Program LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Quartz list Mind Body Program LLC 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 Mind Body Program LLC was last updated on September 3, 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.
# Mind Body Program Llc · NPI 1205084118
Professional organization in Juneau, Wisconsin. Organization record, active in the CMS NPPES registry since September 4, 2008.
## Identity
- **NPI:** 1205084118 (Entity type: Organization)
- **Enumerated:** September 4, 2008
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Also known as:** mind body program LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lauri Gebhard, PSYCHOLOGIST
## Practice location
- **Address:** 199 COUNTY ROAD DF FL 3, Juneau, WI 53039-9512
- **Phone:** (920) 386-4094 · **Fax:** (920) 386-4564
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Clinical Psychologist (2), Marriage and Family Therapist (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1205084118) · Data from the CMS NPPES public registry.