MINDFUL ONE LLC
NPI 1902423114
Psychologist - Clinical in Springfield, VA
About Mindful One Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL ONE LLC (NPI 1902423114), doing business as Mindful One Therapy, is a healthcare organization registered as a clinical in Springfield, Virginia and active in the NPI registry since July 2020. The organization lists Mala K Tandon, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
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 One 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 One LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 One LLC's NPI number?
The NPI number for Mindful One LLC is 1902423114. It was assigned to this organization in the NPPES registry on July 3, 2020. The provider is doing business as Mindful One Therapy.
Where is Mindful One LLC located?
Mindful One LLC is located at 5921 Hall St, Springfield, VA 22152. The listed phone number is (571) 332-9095.
What is Mindful One LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mindful One LLC enrolled in Medicare?
Yes. Mindful One LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful One LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mindful One 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 One LLC was last updated on July 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mindful One Llc · NPI 1902423114
Clinical organization in Springfield, Virginia. Organization record, active in the CMS NPPES registry since July 3, 2020.
## Identity
- **NPI:** 1902423114 (Entity type: Organization)
- **Enumerated:** July 3, 2020
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Also known as:** Mindful One Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mala Tandon, DIRECTOR
## Practice location
- **Address:** 5921 HALL ST, Springfield, VA 22152-1402
- **Phone:** (571) 332-9095
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1902423114) · Data from the CMS NPPES public registry.