Mindful Healing Nw LLC
NPI 1619741568ActiveOrganization· Counselor, Mental Health· McMinnville, OR
Counselor, Mental Health in McMinnville, Oregon, registered in NPPES in November 2023. The authorized official on file is Sydnee Ettelson, LPC, Lpc/Co-Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619741568 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 10, 2023 |
| Last updated in NPPES | Oct 15, 2025 |
| Certified by provider | Oct 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
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 (OR) |
|---|
Other Counselor, Mental Health providers in McMinnville
- 1093656084
- 1790243285
- 1407548290
- 1932062445
- 1225785611
- 1124722392
- 1649134651
- 1588301055
- 1144609736
- 1598420150
- 1164706958
- 1619314267