MINDFULLY, LLC
NPI 1376271981
Counselor in Jacksonville, FL
About Mindfully, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFULLY, LLC (NPI 1376271981) is a healthcare organization registered as a counselor in Jacksonville, Florida and active in the NPI registry since August 2022. The organization lists Charles K Roberts, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
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)
Mindfully, 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 Mindfully, 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 Mindfully, LLC's NPI number?
The NPI number for Mindfully, LLC is 1376271981. It was assigned to this organization in the NPPES registry on August 11, 2022.
Where is Mindfully, LLC located?
Mindfully, LLC is located at 10151 Deerwood Park Blvd Ste 250, Jacksonville, FL 32256. The listed phone number is (888) 830-0347.
What is Mindfully, LLC's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Mindfully, LLC enrolled in Medicare?
Yes. Mindfully, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindfully, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mindfully, 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 Mindfully, LLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mindfully, Llc · NPI 1376271981
Counselor organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since August 11, 2022.
## Identity
- **NPI:** 1376271981 (Entity type: Organization)
- **Enumerated:** August 11, 2022
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Organization subpart:** Yes (part of Mindfully, Llc)
- **Authorized official:** Charles Roberts, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 10151 DEERWOOD PARK BLVD STE 250, Jacksonville, FL 32256-0566
- **Phone:** (888) 830-0347 · **Fax:** (513) 939-0310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376271981) · Data from the CMS NPPES public registry.