HEALING MIND BODY AND SOUL PLLC
NPI 1639980808
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woodbury, MN
About Healing Mind Body And Soul Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALING MIND BODY AND SOUL PLLC (NPI 1639980808) is a healthcare organization registered as a mental health (including community mental health center) in Woodbury, Minnesota and active in the NPI registry since January 2025. The organization lists Bukola O Kuti, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Healing Mind Body And Soul Pllc 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 Healing Mind Body And Soul PLLC, 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 Healing Mind Body And Soul PLLC's NPI number?
The NPI number for Healing Mind Body And Soul PLLC is 1639980808. It was assigned to this organization in the NPPES registry on January 16, 2025.
Where is Healing Mind Body And Soul PLLC located?
Healing Mind Body And Soul PLLC is located at 4265 Corn Silk Ln, Woodbury, MN 55129. The listed phone number is (651) 230-1900.
What is Healing Mind Body And Soul PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Healing Mind Body And Soul PLLC enrolled in Medicare?
Yes. Healing Mind Body And Soul PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healing Mind Body And Soul PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healing Mind Body And Soul PLLC. 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.
What insurance does Healing Mind Body And Soul PLLC accept?
Health plans from Blue Cross and Blue Shield of Texas list Healing Mind Body And Soul PLLC 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 Healing Mind Body And Soul PLLC was last updated on January 16, 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.
# Healing Mind Body And Soul Pllc · NPI 1639980808
Mental Health (Including Community Mental Health Center) organization in Woodbury, Minnesota. Organization record, active in the CMS NPPES registry since January 16, 2025.
## Identity
- **NPI:** 1639980808 (Entity type: Organization)
- **Enumerated:** January 16, 2025
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Bukola Kuti, OWNER
## Practice location
- **Address:** 4265 CORN SILK LN, Woodbury, MN 55129-2213
- **Phone:** (651) 230-1900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639980808) · Data from the CMS NPPES public registry.