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MIND AND BODY WELLNESS, LLC.
NPI 1508540956
Clinic/Center - Multi-Specialty in Fort Smith, AR

Active since June 14, 2023
720 LEXINGTON AVE, FORT SMITH, AR 72901(479) 910-3169(479) 600-5051 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2024, May 1, 2024, Jun 14, 2023 (3 updates tracked since 2023).

About Mind And Body Wellness, Llc. NPPES

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

MIND AND BODY WELLNESS, LLC. (NPI 1508540956) is a healthcare organization registered as a multi-specialty in Fort Smith, Arkansas and active in the NPI registry since June 2023. The organization lists Lucinda J Shepherd, Owner, as its authorized official.

NPPES Registry Identity

NPI1508540956
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMIND AND BODY WELLNESS, LLC.
Location Address720 LEXINGTON AVEFort Smith, AR 72901-4738
Mailing AddressPo Box 6632Springdale, AR 72766-6632 · (479) 409-6049 · Fax (479) 600-5051
Phone(479) 910-3169
Fax(479) 600-5051
Organization SubpartNo
Authorized OfficialLucinda J ShepherdOwner · (479) 409-6049
Enumeration DateJune 14, 2023
Last NPPES UpdateAugust 6, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1508540956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
720 LEXINGTON AVE, Fort Smith, AR 72901
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Other Names 1

Doing Business AsMind And Body Wellness, Llc.

Other Identifiers 1

Medicaid322060002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Mind And Body Wellness, Llc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mind And Body Wellness, LLC., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Maylynn York, LPC-S
Mental Health Counselor
NPI 1740355437
720 LEXINGTON AVE
Fort Smith, AR 72901
(479) 910-3169
✔ PECOSSame address
Kirsten Orange, PMHNP
Nurse Practitioner
NPI 1881167666
2400 S 48TH ST
Springdale, AR 72762
(501) 354-1561
✔ PECOS✔ Accepts Medicare56 mi
Harry Lazarte, M.D.
Internal Medicine
NPI 1548486053
7325 MEESHOW DR STE G
Springdale, AR 72762
(208) 789-2131
✔ PECOS✔ Accepts Medicare56 mi

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 Mind And Body Wellness, LLC.'s NPI number?

The NPI number for Mind And Body Wellness, LLC. is 1508540956. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Mind And Body Wellness, LLC. located?

Mind And Body Wellness, LLC. is located at 720 Lexington Ave, Fort Smith, AR 72901. The listed phone number is (479) 910-3169.

What is Mind And Body Wellness, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Mind And Body Wellness, LLC. enrolled in Medicare?

Yes. Mind And Body Wellness, LLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind And Body Wellness, LLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mind And Body Wellness, LLC., in Internal Medicine, Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mind And Body Wellness, LLC. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Mind And Body Wellness, 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 Mind And Body Wellness, 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.