MMJ MINDFUL WELLNESS LLC
NPI 1215811187
Nurse Practitioner - Psychiatric/Mental Health in Coral Gables, FL
About Mmj Mindful Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MMJ MINDFUL WELLNESS LLC (NPI 1215811187) is a healthcare organization registered as a psychiatric/mental health in Coral Gables, Florida and active in the NPI registry since August 2025. The organization lists Jessica Lazo, Pmhnp, 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)
Mmj 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 Mmj Mindful Wellness 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 Mmj Mindful Wellness LLC's NPI number?
The NPI number for Mmj Mindful Wellness LLC is 1215811187. It was assigned to this organization in the NPPES registry on August 4, 2025.
Where is Mmj Mindful Wellness LLC located?
Mmj Mindful Wellness LLC is located at 1172 S Dixie Hwy, Coral Gables, FL 33146. The listed phone number is (305) 914-0386.
What is Mmj Mindful Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mmj Mindful Wellness LLC enrolled in Medicare?
Yes. Mmj Mindful Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mmj Mindful Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mmj 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 Mmj Mindful Wellness LLC was last updated on August 4, 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.
# Mmj Mindful Wellness Llc · NPI 1215811187
Psychiatric/Mental Health organization in Coral Gables, Florida. Organization record, active in the CMS NPPES registry since August 4, 2025.
## Identity
- **NPI:** 1215811187 (Entity type: Organization)
- **Enumerated:** August 4, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jessica Lazo, PMHNP
## Practice location
- **Address:** 1172 S DIXIE HWY, Coral Gables, FL 33146-2918
- **Phone:** (305) 914-0386
## 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:** August 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215811187) · Data from the CMS NPPES public registry.