CLEAR MIND COACHING LLC
NPI 1528878071
Clinic/Center - Adult Mental Health in Du Bois, PA
About Clear Mind Coaching Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEAR MIND COACHING LLC (NPI 1528878071) is a healthcare organization registered as an adult mental health in Du Bois, Pennsylvania and active in the NPI registry since January 2025. The organization lists Matthew Bridgman, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clear Mind Coaching 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 Clear Mind Coaching LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Clear Mind Coaching LLC's NPI number?
The NPI number for Clear Mind Coaching LLC is 1528878071. It was assigned to this organization in the NPPES registry on January 8, 2025.
Where is Clear Mind Coaching LLC located?
Clear Mind Coaching LLC is located at 146 Burnt Hemlock Rd, Du Bois, PA 15801. The listed phone number is (626) 755-8759.
What is Clear Mind Coaching LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Clear Mind Coaching LLC enrolled in Medicare?
Yes. Clear Mind Coaching LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clear Mind Coaching LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Clear Mind Coaching 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.
When was this NPI record last updated?
The NPPES record for Clear Mind Coaching LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Clear Mind Coaching Llc · NPI 1528878071
Adult Mental Health organization in Du Bois, Pennsylvania. Organization record, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1528878071 (Entity type: Organization)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Matthew Bridgman, MANAGING MEMBER
## Practice location
- **Address:** 146 BURNT HEMLOCK RD, Du Bois, PA 15801-8745
- **Phone:** (626) 755-8759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528878071) · Data from the CMS NPPES public registry.