MANDALA COUNSELING SERVICES LLC
NPI 1871134627
Counselor - Mental Health in Fort Myers, FL
About Mandala Counseling Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDALA COUNSELING SERVICES LLC (NPI 1871134627) is a healthcare organization registered as a mental health in Fort Myers, Florida and active in the NPI registry since October 2019. The organization maintains a secondary practice location in North Fort Myers and lists Brianna Kelly Jaworski, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandala Counseling Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mandala Counseling Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Mandala Counseling Services LLC's NPI number?
The NPI number for Mandala Counseling Services LLC is 1871134627. It was assigned to this organization in the NPPES registry on October 2, 2019.
Where is Mandala Counseling Services LLC located?
Mandala Counseling Services LLC is located at 6361 Presidential Ct Ste 101, Fort Myers, FL 33919. The listed phone number is (239) 360-1976.
What is Mandala Counseling Services LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mandala Counseling Services LLC enrolled in Medicare?
Yes. Mandala Counseling Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mandala Counseling Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Mandala Counseling Services 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mandala Counseling Services LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mandala Counseling Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mandala Counseling Services LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mandala Counseling Services Llc · NPI 1871134627
Mental Health organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since October 2, 2019.
## Identity
- **NPI:** 1871134627 (Entity type: Organization)
- **Enumerated:** October 2, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Brianna Jaworski, OWNER
## Practice location
- **Address:** 6361 PRESIDENTIAL CT STE 101, Fort Myers, FL 33919-3583
- **Phone:** (239) 360-1976
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Mental Health Counselor) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2022
- **Other identifiers:** Other 1932687167
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Source: [NPI Profile](https://npiprofile.com/npi/1871134627) · Data from the CMS NPPES public registry.