MINDFUL AND WELL
NPI 1982391157
Counselor - Mental Health in Shipshewana, IN

Active since April 19, 2023
505 E NORTH VILLAGE DR, SHIPSHEWANA, IN 46565(260) 383-2322(260) 383-2422 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mindful And Well NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL AND WELL (NPI 1982391157) is a healthcare organization registered as a mental health in Shipshewana, Indiana and active in the NPI registry since April 2023. The organization lists Dora Martin-eash, Owner, as its authorized official.

NPPES Registry Identity

NPI1982391157
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMINDFUL AND WELL
Location Address505 E NORTH VILLAGE DRShipshewana, IN 46565-8662
Mailing Address5955 N 1120 WMiddlebury, IN 46540-9386 · (260) 383-2322
Fax(260) 383-2422
Organization SubpartNo
Authorized OfficialDora Martin-eashOwner · (260) 383-2322
Enumeration DateApril 19, 2023
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1982391157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
505 E NORTH VILLAGE DR, Shipshewana, IN 46565

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

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 And Well 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 And Well, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1790005007
505 E NORTH VILLAGE DR
Shipshewana, IN 46565
(260) 383-2322
✔ PECOS✔ Accepts MedicareSame address

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 And Well's NPI number?

The NPI number for Mindful And Well is 1982391157. It was assigned to this organization in the NPPES registry on April 19, 2023.

Where is Mindful And Well located?

Mindful And Well is located at 505 E North Village Dr, Shipshewana, IN 46565. The listed phone number is (260) 383-2322.

What is Mindful And Well's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mindful And Well enrolled in Medicare?

Yes. Mindful And Well is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful And Well?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mindful And Well. 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 And Well was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.