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MINDFULNESS RENEWED LLC
NPI 1821841206
Social Worker - Clinical in Newington, CT

Active since April 08, 2024
107G FENN RD, NEWINGTON, CT 06111(860) 580-9883 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Mindfulness Renewed Llc NPPES

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

MINDFULNESS RENEWED LLC (NPI 1821841206) is a healthcare organization registered as a clinical in Newington, Connecticut and active in the NPI registry since April 2024. The organization lists Carly Sundel, Founder/owner, as its authorized official.

NPPES Registry Identity

NPI1821841206
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFULNESS RENEWED LLC
Location Address107G FENN RDNewington, CT 06111-2250
Mailing Address107 Fenn Rd Ste GNewington, CT 06111-2250 · (860) 580-9883
Phone(860) 580-9883
Organization SubpartNo
Authorized OfficialCarly SundelFounder/owner · (860) 580-9883
Enumeration DateApril 8, 2024
Last NPPES UpdateMay 1, 20242 updates tracked since enumeration
NPPES CertifiedMay 1, 2024
✔ NPI 1821841206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
107G FENN RD, Newington, CT 06111
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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)

Mindfulness Renewed 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 Mindfulness Renewed LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carly Sundel, LCSW
Clinical Social Worker
NPI 1669872743
1177 SILAS DEANE HWY STE 3
Wethersfield, CT 06109
(860) 837-0401
✔ PECOS5.2 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 Mindfulness Renewed LLC's NPI number?

The NPI number for Mindfulness Renewed LLC is 1821841206. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Mindfulness Renewed LLC located?

Mindfulness Renewed LLC is located at 107G Fenn Rd, Newington, CT 06111. The listed phone number is (860) 580-9883.

What is Mindfulness Renewed LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mindfulness Renewed LLC enrolled in Medicare?

Yes. Mindfulness Renewed LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindfulness Renewed LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindfulness Renewed 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 Mindfulness Renewed LLC was last updated on May 1, 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.