Mindfully, LLC
NPI 1215679485ActiveOrganization· Counselor· Longmont, CO
Counselor in Longmont, Colorado, registered in NPPES in April 2022, part of Mindfully, LLC. The authorized official on file is Charles K. Roberts, EDD, LPCC-S, LICDC-C, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215679485 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mindfully, LLC |
| NPI issued | Apr 8, 2022 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Aug 6, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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