Mindfully, LLC
NPI 1376271981ActiveOrganization· Counselor· Jacksonville, FL
Counselor in Jacksonville, Florida, registered in NPPES in August 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 | 1376271981 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mindfully, LLC |
| NPI issued | Aug 11, 2022 |
| Last updated in NPPES | Aug 6, 2024 |
| Certified by provider | Aug 6, 2024 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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