MINDFULLY, LLC
NPI 1376271981
Counselor in Jacksonville, FL

NPI Status: Active since August 11, 2022

Contact Information

10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL
ZIP 32256
Phone: (888) 830-0347
Fax: (513) 939-0310

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  • Organization
  • Counselor

About MINDFULLY, LLC

This page provides the complete NPI Profile along with additional information for Mindfully, Llc, a provider established in Jacksonville, Florida operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1376271981 assigned on August 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Mindfully, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Charles K Roberts Edd, Lpcc-s, Licdc-c (Authorized Official)

NPI
1376271981
Provider Name
MINDFULLY, LLC
Entity Type
Organization
Location Address
10151 DEERWOOD PARK BLVD STE 250 JACKSONVILLE, FL 32256
Location Phone
(888) 830-0347
Location Fax
(513) 939-0310
Mailing Address
1251 NILLES RD STE 5 FAIRFIELD, OH 45014
Mailing Phone
(888) 830-0347
Mailing Fax
(513) 939-0310
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-11-2022
Last Update Date
08-06-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3103T00000XBehavioral Health & Social Service Providers

Psychologist

 
4104100000XBehavioral Health & Social Service Providers

Social Worker

 
5106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 
6171M00000XOther Service Providers

Case Manager/Care Coordinator

 
7175T00000XOther Service Providers

Peer Specialist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES K ROBERTS EDD, LPCC-S, LICDC-C

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(888) 830-0347

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376271981, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 4 + 7 + 2 + 9 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1376271981.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Home Health Aide
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Psychologist (Clinical Child & Adolescent)
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Internal Medicine (Geriatric Medicine)
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
In Home Supportive Care
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Non-emergency Medical Transport (VAN)
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Counselor (Mental Health)
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Home Health Aide
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Clinic/Center (Multi-Specialty)
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Home Health
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256
Nurse's Aide
10151 DEERWOOD PARK BLVD STE 250
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376271981, enumerated as an "organization" on August 11, 2022.

The provider is located at 10151 DEERWOOD PARK BLVD STE 250 JACKSONVILLE, FL 32256 and the phone number is (888) 830-0347.

Counselor with taxonomy code 101Y00000X.