MINDFUL JOURNEY PSYCHOLOGICAL SERVICES LLC
NPI 1750096343
Psychologist - Clinical in Kansas City, MO

Q: What is Mindful Journey Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 18, 2023

4329 CHARLOTTE ST, KANSAS CITY, MO 64110(816) 516-7243 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mindful Journey Psychological Services Llc NPPES

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

MINDFUL JOURNEY PSYCHOLOGICAL SERVICES LLC (NPI 1750096343) is a healthcare organization registered as a clinical in Kansas City, Missouri and active in the NPI registry since January 2023. The organization lists Jakob James Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1750096343

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMINDFUL JOURNEY PSYCHOLOGICAL SERVICES LLC

Location Address4329 CHARLOTTE STKansas City, MO 64110-1548

Mailing Address4329 Charlotte StKansas City, MO 64110-1548 · (816) 516-7243

Phone(816) 516-7243

Organization SubpartNo

Authorized OfficialJakob James NelsonOwner · (816) 516-7243

Enumeration DateJanuary 18, 2023

NPPES CertifiedJanuary 17, 2023

✔ NPI 1750096343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4329 CHARLOTTE ST, Kansas City, MO 64110

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Journey Psychological Services 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 Mindful Journey Psychological Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jakob Nelson, MA, PHD

Clinical Psychologist

NPI 1043353717

300 W 19TH TER
Kansas City, MO 64108

(816) 404-6295

✔ PECOS✔ Accepts Medicare3.1 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 Mindful Journey Psychological Services LLC's NPI number?

The NPI number for Mindful Journey Psychological Services LLC is 1750096343. It was assigned to this organization in the NPPES registry on January 18, 2023.

Where is Mindful Journey Psychological Services LLC located?

Mindful Journey Psychological Services LLC is located at 4329 Charlotte St, Kansas City, MO 64110. The listed phone number is (816) 516-7243.

What is Mindful Journey Psychological Services LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mindful Journey Psychological Services LLC enrolled in Medicare?

Yes. Mindful Journey Psychological Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Journey Psychological Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindful Journey Psychological Services 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 Mindful Journey Psychological Services LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.