MINDSPA WELLNESS CLINIC LLC
NPI 1699553859
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA
About Mindspa Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDSPA WELLNESS CLINIC LLC (NPI 1699553859), doing business as Mindspa Wellness Clinic, is a healthcare organization registered as a psychiatric/mental health in Worcester, Massachusetts and active in the NPI registry since September 2023. The organization lists Beth Harden, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Mindspa Wellness Clinic 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 Mindspa Wellness Clinic 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 Mindspa Wellness Clinic LLC's NPI number?
The NPI number for Mindspa Wellness Clinic LLC is 1699553859. It was assigned to this organization in the NPPES registry on September 19, 2023. The provider is doing business as Mindspa Wellness Clinic.
Where is Mindspa Wellness Clinic LLC located?
Mindspa Wellness Clinic LLC is located at 90 Madison St Ste 500, Worcester, MA 01608. The listed phone number is (508) 762-6586.
What is Mindspa Wellness Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindspa Wellness Clinic LLC enrolled in Medicare?
Yes. Mindspa Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindspa Wellness Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindspa Wellness Clinic 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 Mindspa Wellness Clinic LLC was last updated on September 2, 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.
# Mindspa Wellness Clinic Llc · NPI 1699553859
Psychiatric/Mental Health organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since September 19, 2023.
## Identity
- **NPI:** 1699553859 (Entity type: Organization)
- **Enumerated:** September 19, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Also known as:** Mindspa Wellness Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Beth Harden, NURSE PRACTITIONER
## Practice location
- **Address:** 90 MADISON ST STE 500, Worcester, MA 01608-2077
- **Phone:** (508) 762-6586
## 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:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699553859) · Data from the CMS NPPES public registry.