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MINDFUL PEACE TRAUMA THERAPY LLC
NPI 1831692367
Social Worker - Clinical in Sapulpa, OK

Active since March 12, 2018
8703 W 151ST ST S, SAPULPA, OK 74066(316) 305-6064 Get Directions Write a Review

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

Record update history: Sep 27, 2024, Mar 12, 2018 (2 updates tracked since 2018).

About Mindful Peace Trauma Therapy Llc NPPES

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

MINDFUL PEACE TRAUMA THERAPY LLC (NPI 1831692367) is a healthcare organization registered as a clinical in Sapulpa, Oklahoma and active in the NPI registry since March 2018. The organization lists Brenda Jean Mcentire Uphold, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1831692367
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL PEACE TRAUMA THERAPY LLC
Location Address8703 W 151ST ST SSapulpa, OK 74066-1043
Mailing Address8703 W 151st St SSapulpa, OK 74066-1043 · (316) 305-6064
Phone(316) 305-6064
Organization SubpartNo
Authorized OfficialBrenda Jean Mcentire UpholdOwner/therapist · (316) 305-6064
Enumeration DateMarch 12, 2018
Last NPPES UpdateOctober 3, 20252 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1831692367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OK · 5705
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.
8703 W 151ST ST S, Sapulpa, OK 74066
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Peace Trauma Therapy 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 Peace Trauma Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brenda Mcentire Uphold, LCSW
Clinical Social Worker
NPI 1760815187
8703 W 151ST ST S
Sapulpa, OK 74066
(316) 305-6064
✔ PECOS✔ Accepts MedicareSame 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 Peace Trauma Therapy LLC's NPI number?

The NPI number for Mindful Peace Trauma Therapy LLC is 1831692367. It was assigned to this organization in the NPPES registry on March 12, 2018.

Where is Mindful Peace Trauma Therapy LLC located?

Mindful Peace Trauma Therapy LLC is located at 8703 W 151st St S, Sapulpa, OK 74066. The listed phone number is (316) 305-6064.

What is Mindful Peace Trauma Therapy LLC's specialty?

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

Is Mindful Peace Trauma Therapy LLC enrolled in Medicare?

Yes. Mindful Peace Trauma Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Peace Trauma Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful Peace Trauma Therapy 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 Peace Trauma Therapy LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.