MINDFUL PRIMARY & PSYCH CARE
NPI 1811563497
Clinic/Center - Multi-Specialty in Killeen, TX

Active since June 03, 2021CLIA 45D2230241 · Waiver
2300 CLEAR CREEK RD STE 205, KILLEEN, TX 76549(254) 781-6772 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2024, Jun 3, 2021 (2 updates tracked since 2021).

About Mindful Primary & Psych Care NPPES

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

MINDFUL PRIMARY & PSYCH CARE (NPI 1811563497) is a healthcare organization registered as a multi-specialty in Killeen, Texas and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Seresea Mitchell-smith, Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1811563497
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMINDFUL PRIMARY & PSYCH CARE
Location Address2300 CLEAR CREEK RD STE 205Killeen, TX 76549-5404
Mailing Address2300 Clear Creek Rd Ste 205Killeen, TX 76549-5404 · (254) 781-6772
Organization SubpartNo
Authorized OfficialSeresea Mitchell-smithNurse Practioner · (254) 781-6772
Enumeration DateJune 3, 2021
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1811563497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2300 CLEAR CREEK RD STE 205, Killeen, TX 76549

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2230241

Mindful Primary & Psych Care, PLLC · Killeen, TX
Active · expires Jul 20, 2027
CLIA Number45D2230241
Laboratory TypePractitioner Other
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorSeresea R. Mitchell-Smith
Laboratory Phone(254) 295-7311
Laboratory LocationMindful Primary & Psych Care, PLLC2300 S. Clear Creek Rd. Suite 205, Killeen, TX 76549
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
2300 CLEAR CREEK RD STE 205
KILLEEN, TX 76549
Nurse Practitioner (Psychiatric/Mental Health)
2300 CLEAR CREEK RD STE 205
KILLEEN, TX 76549
Clinic/Center (Mental Health (Including Community Mental Health Center))
2300 CLEAR CREEK RD STE 205
KILLEEN, TX 76549
Nurse Practitioner (Psychiatric/Mental Health)
2300 CLEAR CREEK RD STE 205
KILLEEN, TX 76549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811563497, enumerated as an "organization" on June 03, 2021.

The provider is located at 2300 CLEAR CREEK RD STE 205 KILLEEN, TX 76549 and the phone number is (254) 781-6772.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.