LIGHT AND MIND WELLNESS LLC
NPI 1609449677
Nurse Practitioner - Psychiatric/Mental Health in Easton, MD

Active since July 19, 2021
8707 COMMERCE DR STE E, EASTON, MD 21601(410) 855-4664(855) 461-3481 Get Directions Write a Review

NPPES record last updated: January 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Mar 1, 2023, Feb 13, 2023 and 4 more (7 updates tracked since 2021).

About Light And Mind Wellness Llc NPPES

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

LIGHT AND MIND WELLNESS LLC (NPI 1609449677) is a healthcare organization registered as a psychiatric/mental health in Easton, Maryland and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Middletown and lists Aisha Hassan-davis, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1609449677
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIGHT AND MIND WELLNESS LLC
Location Address8707 COMMERCE DR STE EEaston, MD 21601-6910
Mailing Address8707 Commerce Dr Ste EEaston, MD 21601-6910 · (443) 239-2033 · Fax (855) 461-3481
Fax(855) 461-3481
Organization SubpartNo
Authorized OfficialAisha Hassan-davisOwner/provider · (443) 239-2033
Enumeration DateJuly 19, 2021
Last NPPES UpdateJanuary 25, 20257 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2025
✔ NPI 1609449677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse PractitionerTaxonomy 363L00000X
8707 COMMERCE DR STE E, Easton, MD 21601

Other Names 1

Other NameLight And Mind Wellness Llc

Secondary Practice Location 1

Location 1811 N Broad St Ste 225AMiddletown, DE 19709-1173 · Phone (443) 239-2033 · Fax (855) 461-3481

Other Identifiers 2

Medicaid250696270DE
Medicaid206453701MD

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Light And Mind Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1023679404
8707 COMMERCE DR STE E
Easton, MD 21601
(410) 855-4664
✔ PECOSSame address
Nurse Practitioner
NPI 1053951004
8707 COMMERCE DR STE E
Easton, MD 21601
(410) 855-4664
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376963975
8707 COMMERCE DR
Easton, MD 21601
(443) 239-2033
✔ PECOSSame address
Nurse Practitioner
NPI 1619504867
501 W 14TH ST STE 1E40
Wilmington, DE 19801
(302) 320-2100
✔ PECOS✔ Accepts Medicare72 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 Light And Mind Wellness LLC's NPI number?

The NPI number for Light And Mind Wellness LLC is 1609449677. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Light And Mind Wellness LLC located?

Light And Mind Wellness LLC is located at 8707 Commerce Dr Ste E, Easton, MD 21601. The listed phone number is (410) 855-4664.

What is Light And Mind Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Light And Mind Wellness LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Light And Mind Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Light And Mind Wellness 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Light And Mind Wellness LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Light And Mind 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 Light And Mind Wellness LLC was last updated on January 25, 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.