Mindful Therapy Group PC
NPI 1316238678ActiveOrganization· Social Worker, Clinical· Mountlake Terrace, WA
Social Worker, Clinical in Mountlake Terrace, Washington, registered in NPPES in April 2011. The authorized official on file is Derek Alan Crain, LICSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1316238678 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2011 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW 00009354 | WA |
| Counselor, Mental Health | 101YM0800X | LH 00006954 | WA |
| Psychologist | 103T00000X | — | — |
| Marriage & Family Therapist | 106H00000X | LF 60159362 | WA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (MN); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (OR); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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