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MINDFUL HEALING THERAPY
NPI 1396520458
Social Worker - Clinical in Hot Springs, AR

Active since August 28, 2023
101 RHONDA ANN PL, HOT SPRINGS, AR 71909(501) 500-4091(501) 307-1475 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2025, Nov 9, 2023, Aug 28, 2023 (3 updates tracked since 2023).

About Mindful Healing Therapy NPPES

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

MINDFUL HEALING THERAPY (NPI 1396520458) is a healthcare organization registered as a clinical in Hot Springs, Arkansas and active in the NPI registry since August 2023. The organization lists Holly De Sambourg, Mental Health Therapist, as its authorized official.

NPPES Registry Identity

NPI1396520458
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL HEALING THERAPY
Location Address101 RHONDA ANN PLHot Springs, AR 71909-9645
Mailing Address101 Rhonda Ann PlHot Springs, AR 71909-9645 · (501) 463-3504
Phone(501) 500-4091
Fax(501) 307-1475
Organization SubpartNo
Authorized OfficialHolly De SambourgMental Health Therapist · (501) 500-4091
Enumeration DateAugust 28, 2023
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1396520458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
101 RHONDA ANN PL, Hot Springs, AR 71909
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Mindful Healing Therapy 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 Mindful Healing Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Holly De Sambourg, LCSW
Clinical Social Worker
NPI 1811480320
101 RHONDA ANN PL
Hot Springs, AR 71909
(501) 500-4091
✔ 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 Mindful Healing Therapy's NPI number?

The NPI number for Mindful Healing Therapy is 1396520458. It was assigned to this organization in the NPPES registry on August 28, 2023.

Where is Mindful Healing Therapy located?

Mindful Healing Therapy is located at 101 Rhonda Ann Pl, Hot Springs, AR 71909. The listed phone number is (501) 500-4091.

What is Mindful Healing Therapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mindful Healing Therapy enrolled in Medicare?

Yes. Mindful Healing Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Healing Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful Healing Therapy. 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 Healing Therapy was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.