Mindful Haven LLC
A Medicare group practice based in Newark, DE: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6507300910), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6507300910
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- DE, MD
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20240626003293 | MD | Part B Supplier - Clinic/Group Practice | 1093563512 |
| O20260311000195 | DE | Part B Supplier - Clinic/Group Practice | 1568325546 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mindful Haven LLC
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
- NPI 1093563512
-
Mindful Haven LLC
- Psychiatric/Mental Health Nurse Practitioner
- Newark, DE
- NPI 1568325546
-
Mindful Haven LLC
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
- NPI 1184596801
Practice locations
- Nottingham, MD1
- Newark, DE1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Jacqueline Colette Armstrong, NP
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
- NPI 1619504867
-
Lacreasha Fullard, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
- NPI 1821696196
-
Latoya Victor, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Silver Spring, MD
- NPI 1538559778
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.