MINESET MENTAL HEALTH INC.
NPI 1972284669
Clinic/Center - Mental Health (Including Community Mental Health Center) in Redondo Beach, CA
About Mineset Mental Health Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINESET MENTAL HEALTH INC. (NPI 1972284669) is a healthcare organization registered as a mental health (including community mental health center) in Redondo Beach, California and active in the NPI registry since July 2023. The organization lists Kimberly Ruth Nicolson, Founder/practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mineset Mental Health Inc. 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 Mineset Mental Health Inc., 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 Mineset Mental Health Inc.'s NPI number?
The NPI number for Mineset Mental Health Inc. is 1972284669. It was assigned to this organization in the NPPES registry on July 26, 2023.
Where is Mineset Mental Health Inc. located?
Mineset Mental Health Inc. is located at 1840 S Elena Ave Ste 106, Redondo Beach, CA 90277. The listed phone number is (310) 737-2210.
What is Mineset Mental Health Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mineset Mental Health Inc. enrolled in Medicare?
Yes. Mineset Mental Health Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mineset Mental Health Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mineset Mental Health Inc.. 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 Mineset Mental Health Inc. was last updated on July 26, 2023. 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.
# Mineset Mental Health Inc. · NPI 1972284669
Mental Health (Including Community Mental Health Center) organization in Redondo Beach, California. Organization record, active in the CMS NPPES registry since July 26, 2023.
## Identity
- **NPI:** 1972284669 (Entity type: Organization)
- **Enumerated:** July 26, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kimberly Nicolson, FOUNDER/PRACTITIONER
## Practice location
- **Address:** 1840 S ELENA AVE STE 106, Redondo Beach, CA 90277-5716
- **Phone:** (310) 737-2210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972284669) · Data from the CMS NPPES public registry.