MINDFUL WELLNESS LLC
NPI 1215682455
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Portland, ME
About Mindful Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL WELLNESS LLC (NPI 1215682455) is a healthcare organization registered as a mental health (including community mental health center) in South Portland, Maine and active in the NPI registry since February 2022. The organization lists Krystle Nicole Ladd, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Wellness 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 Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
South Portland, ME 04106
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 Wellness LLC's NPI number?
The NPI number for Mindful Wellness LLC is 1215682455. It was assigned to this organization in the NPPES registry on February 16, 2022. The provider is also known as Mindful Wellness.
Where is Mindful Wellness LLC located?
Mindful Wellness LLC is located at 100 Brickhill Ave Ste 304, South Portland, ME 04106. The listed phone number is (443) 359-1706.
What is Mindful Wellness 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 Wellness LLC enrolled in Medicare?
Yes. Mindful Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Wellness 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 Wellness LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 Wellness Llc · NPI 1215682455
Mental Health (Including Community Mental Health Center) organization in South Portland, Maine. Organization record, active in the CMS NPPES registry since February 16, 2022.
## Identity
- **NPI:** 1215682455 (Entity type: Organization)
- **Enumerated:** February 16, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Mindful Wellness (Other Name)
- **Organization subpart:** No
- **Authorized official:** Krystle Ladd, OWNER
## Practice location
- **Address:** 100 BRICKHILL AVE STE 304, South Portland, ME 04106-1999
- **Phone:** (443) 359-1706
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215682455) · Data from the CMS NPPES public registry.