MINDFUL MOMENTUM COUNSELING PLLC
NPI 1366116477
Counselor - Professional in Bloomingdale, IL
About Mindful Momentum Counseling Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL MOMENTUM COUNSELING PLLC (NPI 1366116477) is a healthcare organization registered as a professional in Bloomingdale, Illinois and active in the NPI registry since August 2021. The organization lists Joseph Rubin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mindful Momentum Counseling Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mindful Momentum Counseling PLLC, 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 Momentum Counseling PLLC's NPI number?
The NPI number for Mindful Momentum Counseling PLLC is 1366116477. It was assigned to this organization in the NPPES registry on August 3, 2021.
Where is Mindful Momentum Counseling PLLC located?
Mindful Momentum Counseling PLLC is located at 132 W Lake St Ofc 4, Bloomingdale, IL 60108. The listed phone number is (847) 773-1684.
What is Mindful Momentum Counseling PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mindful Momentum Counseling PLLC enrolled in Medicare?
Yes. Mindful Momentum Counseling PLLC is registered in the Medicare PECOS enrollment system.
When is Mindful Momentum Counseling PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mindful Momentum Counseling PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mindful Momentum Counseling 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 Mindful Momentum Counseling PLLC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mindful Momentum Counseling Pllc · NPI 1366116477
Professional organization in Bloomingdale, Illinois. Organization record, active in the CMS NPPES registry since August 3, 2021.
## Identity
- **NPI:** 1366116477 (Entity type: Organization)
- **Enumerated:** August 3, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Joseph Rubin, OWNER
## Practice location
- **Address:** 132 W LAKE ST OFC 4, Bloomingdale, IL 60108-1020
- **Phone:** (847) 773-1684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1366116477) · Data from the CMS NPPES public registry.