INTEGRATIVE MIND BODY THERAPY, LLC
NPI 1407594153
Counselor - Professional in Charleston, SC

Q: What is Integrative Mind Body Therapy, LLC's NPI number?

The NPI number for Integrative Mind Body Therapy, LLC is 1407594153. It was assigned to this organization in the NPPES registry on May 23, 2022.

Q: What is Integrative Mind Body Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since May 23, 2022

2511 STADIUM DR, CHARLESTON, SC 29406(816) 752-6631(844) 919-1630 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 1, 2023, Sep 2, 2022, May 23, 2022 (3 updates tracked since 2022).

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About Integrative Mind Body Therapy, Llc NPPES

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

INTEGRATIVE MIND BODY THERAPY, LLC (NPI 1407594153) is a healthcare organization registered as a professional in Charleston, South Carolina and active in the NPI registry since May 2022. The organization lists Lisa Fracica, Owner And Sole Member, as its authorized official.

NPPES Registry Identity

NPI1407594153

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameINTEGRATIVE MIND BODY THERAPY, LLC

Location Address2511 STADIUM DRCharleston, SC 29406-6606

Mailing Address2511 Stadium DrCharleston, SC 29406-6606 · (816) 752-6631 · Fax (844) 919-1630

Phone(816) 752-6631

Fax(844) 919-1630

Organization SubpartNo

Authorized OfficialLisa FracicaOwner And Sole Member · (816) 752-6631

Enumeration DateMay 23, 2022

Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1407594153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

2511 STADIUM DR, Charleston, SC 29406

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Mind Body Therapy, 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 Integrative Mind Body Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Fracica, MA, LCPC, LGPAT

Licensed Professional Counselor

NPI 1245852946

2511 STADIUM DR
Charleston, SC 29406

(816) 752-6631

✔ PECOSSame 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 Integrative Mind Body Therapy, LLC's NPI number?

The NPI number for Integrative Mind Body Therapy, LLC is 1407594153. It was assigned to this organization in the NPPES registry on May 23, 2022.

Where is Integrative Mind Body Therapy, LLC located?

Integrative Mind Body Therapy, LLC is located at 2511 Stadium Dr, Charleston, SC 29406. The listed phone number is (816) 752-6631.

What is Integrative Mind Body Therapy, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Integrative Mind Body Therapy, LLC enrolled in Medicare?

Yes. Integrative Mind Body Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Mind Body Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Licensed Professional Counselor) reassigns their Medicare billing to Integrative Mind Body Therapy, 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.

What insurance does Integrative Mind Body Therapy, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Integrative Mind Body Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrative Mind Body Therapy, LLC was last updated on November 1, 2023. 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.