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MINDFULLYME MENTAL HEALTH PLLC
NPI 1306708235
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stratford, CT

Active since December 01, 2025
2505 MAIN ST STE 208, STRATFORD, CT 06615(203) 682-5278 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mindfullyme Mental Health Pllc NPPES

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

MINDFULLYME MENTAL HEALTH PLLC (NPI 1306708235), doing business as Mindfullyme Wellness, is a healthcare organization registered as a mental health (including community mental health center) in Stratford, Connecticut and active in the NPI registry since December 2025. The organization lists Jacqueline Ivana Stevens, Owner, as its authorized official.

NPPES Registry Identity

NPI1306708235
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDFULLYME MENTAL HEALTH PLLC
Location Address2505 MAIN ST STE 208Stratford, CT 06615-5813
Mailing Address268 Post Rd Ste 200, #164711Fairfield, CT 06824
Phone(203) 682-5278
Organization SubpartNo
Authorized OfficialJacqueline Ivana StevensOwner · (203) 682-5278
Enumeration DateDecember 1, 2025
NPPES CertifiedNovember 30, 2025
✔ NPI 1306708235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2505 MAIN ST STE 208, Stratford, CT 06615
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Other Names 1

Doing Business AsMindfullyme Wellness

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)

Mindfullyme Mental Health Pllc 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 Mindfullyme Mental Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Stevens, LMSW
Clinical Social Worker
NPI 1033972500
954 BIRMINGHAM ST
Bridgeport, CT 06606
(203) 682-5278
✔ PECOS4.8 mi

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 Mindfullyme Mental Health PLLC's NPI number?

The NPI number for Mindfullyme Mental Health PLLC is 1306708235. It was assigned to this organization in the NPPES registry on December 1, 2025. The provider is doing business as MindFullyMe Wellness.

Where is Mindfullyme Mental Health PLLC located?

Mindfullyme Mental Health PLLC is located at 2505 Main St Ste 208, Stratford, CT 06615. The listed phone number is (203) 682-5278.

What is Mindfullyme Mental Health PLLC'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 Mindfullyme Mental Health PLLC enrolled in Medicare?

Yes. Mindfullyme Mental Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindfullyme Mental Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindfullyme Mental Health PLLC. 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 Mindfullyme Mental Health PLLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.