MINDFUL SELF CARE THERAPY, LLC
NPI 1205594108
Psychologist in West Orange, NJ
About Mindful Self Care Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL SELF CARE THERAPY, LLC (NPI 1205594108) is a healthcare organization registered as a psychologist in West Orange, New Jersey and active in the NPI registry since December 2021. The organization maintains a secondary practice location in Sarasota and lists Debra S Gill, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Self Care Therapy, Llc 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 Self Care Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Self Care Therapy, LLC's NPI number?
The NPI number for Mindful Self Care Therapy, LLC is 1205594108. It was assigned to this organization in the NPPES registry on December 8, 2021.
Where is Mindful Self Care Therapy, LLC located?
Mindful Self Care Therapy, LLC is located at 46 Underwood Dr, West Orange, NJ 07052. The listed phone number is (973) 820-5174.
What is Mindful Self Care Therapy, LLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Mindful Self Care Therapy, LLC enrolled in Medicare?
Yes. Mindful Self Care Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Self Care Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindful Self Care Therapy, 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. 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 Self Care Therapy, LLC was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.