MINDFUL CHANGE THERAPY LLC
NPI 1992681092
Counselor - Mental Health in Hollywood, FL
About Mindful Change Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDFUL CHANGE THERAPY LLC (NPI 1992681092) is a healthcare organization registered as a mental health in Hollywood, Florida and active in the NPI registry since August 2025. The organization lists Erin Ladwig, 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 Change Therapy 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 Change Therapy 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 Change Therapy LLC's NPI number?
The NPI number for Mindful Change Therapy LLC is 1992681092. It was assigned to this organization in the NPPES registry on August 13, 2025.
Where is Mindful Change Therapy LLC located?
Mindful Change Therapy LLC is located at 3440 Hollywood Blvd Ste 415, Hollywood, FL 33021. The listed phone number is (954) 684-0764.
What is Mindful Change Therapy LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mindful Change Therapy LLC enrolled in Medicare?
Yes. Mindful Change Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mindful Change Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mindful Change Therapy 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 Change Therapy LLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Change Therapy Llc · NPI 1992681092
Mental Health organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since August 13, 2025.
## Identity
- **NPI:** 1992681092 (Entity type: Organization)
- **Enumerated:** August 13, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Erin Ladwig, OWNER
## Practice location
- **Address:** 3440 HOLLYWOOD BLVD STE 415, Hollywood, FL 33021-6933
- **Phone:** (954) 684-0764
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992681092) · Data from the CMS NPPES public registry.