MIND OVER MATTERS THERAPEUTIC & WELLNESS SERVICES, LLC
NPI 1265271639
Nurse Practitioner - Psychiatric/Mental Health in Lakeville, MA

Q: What is Mind Over Matters Therapeutic & Wellness Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 23, 2024

109 RHODE ISLAND RD, LAKEVILLE, MA 02347(774) 209-2372 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2026, Sep 10, 2025, Nov 22, 2024 and 1 more (4 updates tracked since 2024).

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About Mind Over Matters Therapeutic & Wellness Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND OVER MATTERS THERAPEUTIC & WELLNESS SERVICES, LLC (NPI 1265271639) is a healthcare organization registered as a psychiatric/mental health in Lakeville, Massachusetts and active in the NPI registry since May 2024. The organization maintains 3 additional practice locations and lists Sharonda Lashawn Bagwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1265271639

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND OVER MATTERS THERAPEUTIC & WELLNESS SERVICES, LLC

Location Address109 RHODE ISLAND RDLakeville, MA 02347-1370

Mailing Address109 Rhode Island Rd Ste 4bLakeville, MA 02347-1370 · (774) 209-2372 · Fax (774) 217-7242

Phone(774) 209-2372

Organization SubpartNo

Authorized OfficialSharonda Lashawn BagwellOwner · (774) 209-2372

Enumeration DateMay 23, 2024

Last NPPES UpdateApril 28, 20264 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1265271639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

109 RHODE ISLAND RD, Lakeville, MA 02347

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Secondary Practice Locations 3

Location 11200 Reservoir AveCranston, RI 02920-6012 · Phone (774) 209-2372 · Fax (774) 217-7242

Location 215 Constitution Dr Ste 1ABedford, NH 03110-6002 · Phone (843) 530-3344

Location 3205 Hudson St Fl 7New York, NY 10013-1836 · Phone (332) 244-0244 · Fax (332) 334-5139

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Over Matters Therapeutic & Wellness Services, 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 Mind Over Matters Therapeutic & Wellness Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sharonda Bagwell, PMHNP-BC

Nurse Practitioner

NPI 1871371559

109 RHODE ISLAND RD STE 3B
Lakeville, MA 02347

(774) 209-2372

✔ PECOS✔ Accepts MedicareSame address

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 Over Matters Therapeutic & Wellness Services, LLC's NPI number?

The NPI number for Mind Over Matters Therapeutic & Wellness Services, LLC is 1265271639. It was assigned to this organization in the NPPES registry on May 23, 2024.

Where is Mind Over Matters Therapeutic & Wellness Services, LLC located?

Mind Over Matters Therapeutic & Wellness Services, LLC is located at 109 Rhode Island Rd, Lakeville, MA 02347. The listed phone number is (774) 209-2372.

What is Mind Over Matters Therapeutic & Wellness Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mind Over Matters Therapeutic & Wellness Services, LLC enrolled in Medicare?

Yes. Mind Over Matters Therapeutic & Wellness Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Over Matters Therapeutic & Wellness Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mind Over Matters Therapeutic & Wellness Services, 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 Mind Over Matters Therapeutic & Wellness Services, LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.