MINDFUL MENTAL HEALTH, PLLC
NPI 1932089281
Nurse Practitioner - Psychiatric/Mental Health in University Place, WA

Active since September 06, 2025
6102 84TH AVENUE CT W, UNIVERSITY PLACE, WA 98467(360) 870-5411 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1932089281
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL MENTAL HEALTH, PLLC
Location Address6102 84TH AVENUE CT WUniversity Place, WA 98467-4042
Mailing Address6102 84th Avenue Ct WUniversity Place, WA 98467-4042 · (360) 870-5411
Organization SubpartNo
Authorized OfficialJack Logan KeithOwner · (360) 870-5411
Enumeration DateSeptember 6, 2025
NPPES CertifiedSeptember 6, 2025
NPI 1932089281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6102 84TH AVENUE CT W, University Place, WA 98467

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

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.

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 11 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.