MINDFUL MENTAL HEALTH, PLLC
NPI 1932089281
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA
About Mindful Mental Health, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL MENTAL HEALTH, PLLC (NPI 1932089281) is a healthcare organization registered as a psychiatric/mental health in University Place, Washington and active in the NPI registry since September 2025. The organization lists Jack Logan Keith, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Mental Health, Pllc 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 Mental Health, PLLC, 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 Mental Health, PLLC's NPI number?
The NPI number for Mindful Mental Health, PLLC is 1932089281. It was assigned to this organization in the NPPES registry on September 6, 2025.
Where is Mindful Mental Health, PLLC located?
Mindful Mental Health, PLLC is located at 6102 84th Avenue Ct W, University Place, WA 98467. The listed phone number is (360) 870-5411.
What is Mindful Mental Health, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mindful Mental Health, PLLC enrolled in Medicare?
Yes. Mindful Mental Health, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Mental Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mindful Mental Health, PLLC. 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 Mental Health, PLLC was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mindful Mental Health, Pllc · NPI 1932089281
Psychiatric/Mental Health organization in University Place, Washington. Organization record, active in the CMS NPPES registry since September 6, 2025.
## Identity
- **NPI:** 1932089281 (Entity type: Organization)
- **Enumerated:** September 6, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jack Keith, OWNER
## Practice location
- **Address:** 6102 84TH AVENUE CT W, University Place, WA 98467-4042
- **Phone:** (360) 870-5411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932089281) · Data from the CMS NPPES public registry.