MINDBODY HEALTH & WELLNESS CLINIC LLC
NPI 1750140786
Nurse Practitioner - Psychiatric/Mental Health in Natchez, MS
About Mindbody Health & Wellness Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDBODY HEALTH & WELLNESS CLINIC LLC (NPI 1750140786) is a healthcare organization registered as a psychiatric/mental health in Natchez, Mississippi and active in the NPI registry since March 2024. The organization lists Ursula Brooks-clemons, 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)
Mindbody Health & 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 Mindbody Health & 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 Mindbody Health & Wellness Clinic LLC's NPI number?
The NPI number for Mindbody Health & Wellness Clinic LLC is 1750140786. It was assigned to this organization in the NPPES registry on March 13, 2024.
Where is Mindbody Health & Wellness Clinic LLC located?
Mindbody Health & Wellness Clinic LLC is located at 415 State St., Natchez, MS 39120. The listed phone number is (769) 355-2138.
What is Mindbody Health & 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 Mindbody Health & Wellness Clinic LLC enrolled in Medicare?
Yes. Mindbody Health & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindbody Health & Wellness Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindbody Health & 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 Mindbody Health & Wellness Clinic LLC was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mindbody Health & Wellness Clinic Llc · NPI 1750140786
Psychiatric/Mental Health organization in Natchez, Mississippi. Organization record, active in the CMS NPPES registry since March 13, 2024.
## Identity
- **NPI:** 1750140786 (Entity type: Organization)
- **Enumerated:** March 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Ursula Brooks-Clemons, OWNER
## Practice location
- **Address:** 415 STATE ST., Natchez, MS 39120
- **Phone:** (769) 355-2138
## 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:** March 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750140786) · Data from the CMS NPPES public registry.