MINDFUL BEHAVIORAL HEALTHCARE, LLC
NPI 1477744548
Community/Behavioral Health in Kissimmee, FL

Active since August 05, 2007CLIA Certified · 2 labs
717 E OAK ST, KISSIMMEE, FL 34744(407) 846-0533(407) 518-1730 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2022, Sep 20, 2021, Sep 17, 2021 and 2 more (5 updates tracked since 2016).

About Mindful Behavioral Healthcare, Llc NPPES

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

MINDFUL BEHAVIORAL HEALTHCARE, LLC (NPI 1477744548) is a healthcare organization registered as a community/behavioral health in Kissimmee, Florida and active in the NPI registry since August 2007. The organization holds 2 active CLIA laboratory certificates and lists Michelle Missigman, Coo, as its authorized official.

NPPES Registry Identity

NPI1477744548
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMINDFUL BEHAVIORAL HEALTHCARE, LLC
Location Address717 E OAK STKissimmee, FL 34744-4580
Mailing Address719 East Oak StreetKissimmee, FL 34744 · (407) 846-0533 · Fax (407) 518-1730
Fax(407) 518-1730
Organization SubpartNo
Authorized OfficialMichelle MissigmanCoo · (352) 328-9139
Enumeration DateAugust 5, 2007
Last NPPES UpdateJanuary 26, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1477744548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
717 E OAK ST, Kissimmee, FL 34744

Other Identifiers 2

Medicaid019725400FL
Medicaid006520800FL

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

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 Behavioral Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Mindful Behavioral Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Psychiatry4
Mental Health Counselor3
Clinical Social Worker1

Nearest to this location (20)

See all 22
Psychiatry
NPI 1144322025
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164196002
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1215997994
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOSSame address
Nurse Practitioner
NPI 1912788571
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1912471830
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144994682
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952015612
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1467617829
717 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1194765065
719 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1780886937
719 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578373197
711 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1073575320
711 E OAK ST
Kissimmee, FL 34744
(407) 846-0533
✔ PECOSSame address
Nurse Practitioner
NPI 1730697715
22 W MONUMENT AVE STE 29
Kissimmee, FL 34741
(407) 753-1500
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1518675156
PO BOX 423356
Kissimmee, FL 34742
(347) 460-9989
✔ PECOS1.7 mi
Psychiatry
NPI 1215074331
1221 12TH ST UNIT 102
Saint Cloud, FL 34769
(407) 556-3720
✔ PECOS✔ Accepts Medicare7.9 mi
Nurse Practitioner
NPI 1851047559
115 E LANCASTER RD
Orlando, FL 32809
(407) 751-0025
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1912304759
10920 MOSS PARK RD STE 200
Orlando, FL 32832
(407) 846-0533
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1447766480
734 IRMA AVE
Orlando, FL 32803
(305) 900-0818
✔ PECOS18 mi
Nurse Practitioner
NPI 1861266074
2910 MAGUIRE RD STE 2002
Ocoee, FL 34761
(239) 690-6906
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1376161950
300 TREEMONTE DR
Orange City, FL 32763
(800) 614-4124
✔ PECOS✔ Accepts Medicare43 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2036484

Mindful Behavioral Healthcare LLC · Kissimmee, FL
Active · expires Feb 7, 2028
CLIA Number10D2036484
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorVivian Charneco
Laboratory Phone(407) 846-0533
Laboratory LocationMindful Behavioral Healthcare LLC717 E Oak St, Kissimmee, FL 34744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2216023

Mindful Behavioral Healthcare LLC · Kissimmee, FL
Active · expires Mar 8, 2027
CLIA Number10D2216023
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorVivian Charneco
Laboratory Phone(407) 846-0533
Laboratory LocationMindful Behavioral Healthcare LLC711 E Oak Street, Kissimmee, FL 34744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Behavioral Healthcare, LLC's NPI number?

The NPI number for Mindful Behavioral Healthcare, LLC is 1477744548. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Mindful Behavioral Healthcare, LLC located?

Mindful Behavioral Healthcare, LLC is located at 717 E Oak St, Kissimmee, FL 34744. The listed phone number is (407) 846-0533.

What is Mindful Behavioral Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mindful Behavioral Healthcare, LLC enrolled in Medicare?

Yes. Mindful Behavioral Healthcare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Behavioral Healthcare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 4 Medicare specialties reassign their Medicare billing to Mindful Behavioral Healthcare, 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. The largest specialties are Nurse Practitioner (14), Psychiatry (4) and Mental Health Counselor (3). Of these, 12 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mindful Behavioral Healthcare, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mindful Behavioral Healthcare, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mindful Behavioral Healthcare, 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 Mindful Behavioral Healthcare, LLC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.