MIND BODY COUNSELING LLC
NPI 1578029377
Counselor - Professional in Middletown, CT
About Mind Body Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND BODY COUNSELING LLC (NPI 1578029377) is a healthcare organization registered as a professional in Middletown, Connecticut and active in the NPI registry since February 2019. The organization lists Marisa Valdiserra, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Body Counseling 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 Mind Body Counseling 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 Mind Body Counseling LLC's NPI number?
The NPI number for Mind Body Counseling LLC is 1578029377. It was assigned to this organization in the NPPES registry on February 16, 2019.
Where is Mind Body Counseling LLC located?
Mind Body Counseling LLC is located at 100 Riverview Ctr Ste 240, Middletown, CT 06457. The listed phone number is (860) 373-2828.
What is Mind Body Counseling LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mind Body Counseling LLC enrolled in Medicare?
Yes. Mind Body Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Body Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mind Body Counseling 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 Mind Body Counseling LLC was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mind Body Counseling Llc · NPI 1578029377
Professional organization in Middletown, Connecticut. Organization record, active in the CMS NPPES registry since February 16, 2019.
## Identity
- **NPI:** 1578029377 (Entity type: Organization)
- **Enumerated:** February 16, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Marisa Valdiserra, OWNER
## Practice location
- **Address:** 100 RIVERVIEW CTR STE 240, Middletown, CT 06457-3489
- **Phone:** (860) 373-2828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578029377) · Data from the CMS NPPES public registry.