MINDFUL PATHWAYS FAMILY COUNSELING CENTER, PLLC
NPI 1750250379
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jonesboro, IL

Active since November 03, 2025
2805 STATE ROUTE 127 S, JONESBORO, IL 62952(618) 685-0580 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mindful Pathways Family Counseling Center, Pllc NPPES

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

MINDFUL PATHWAYS FAMILY COUNSELING CENTER, PLLC (NPI 1750250379) is a healthcare organization registered as a mental health (including community mental health center) in Jonesboro, Illinois and active in the NPI registry since November 2025. The organization lists Lori Randolph, Therapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1750250379
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMINDFUL PATHWAYS FAMILY COUNSELING CENTER, PLLC
Location Address2805 STATE ROUTE 127 SJonesboro, IL 62952-1326
Mailing Address2805 State Route 127 SJonesboro, IL 62952-1326 · (618) 685-0580
Organization SubpartNo
Authorized OfficialLori RandolphTherapist, Owner · (618) 685-0580
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 2, 2025
✔ NPI 1750250379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2805 STATE ROUTE 127 S, Jonesboro, IL 62952

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 Pathways Family Counseling Center, 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 Mindful Pathways Family Counseling Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1154290757
2805 STATE ROUTE 127 S
Jonesboro, IL 62952
(618) 685-0580
✔ PECOSSame address

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 Pathways Family Counseling Center, PLLC's NPI number?

The NPI number for Mindful Pathways Family Counseling Center, PLLC is 1750250379. It was assigned to this organization in the NPPES registry on November 3, 2025.

Where is Mindful Pathways Family Counseling Center, PLLC located?

Mindful Pathways Family Counseling Center, PLLC is located at 2805 State Route 127 S, Jonesboro, IL 62952. The listed phone number is (618) 685-0580.

What is Mindful Pathways Family Counseling Center, 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 Mindful Pathways Family Counseling Center, PLLC enrolled in Medicare?

Yes. Mindful Pathways Family Counseling Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Pathways Family Counseling Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful Pathways Family Counseling Center, 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.

When was this NPI record last updated?

The NPPES record for Mindful Pathways Family Counseling Center, PLLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.