Mindful Solutions, LLC
Organization Active NPI Professional Counselor · Jackson, MS
NPI 1083176218 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1083176218
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- MINDFUL SOLUTIONS, LLC
- Practice address
- 4500 I 55 N Ste 208
Jackson, MS 39211-5931 - Phone
- (601) 292-6260
- Fax
- (601) 487-8115
- NPI assigned
- Apr 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Sherry Bouldin, LPC, NCC
- Title
- Owner
- Phone
- (601) 292-6260
Practitioners 3
-
Sherry Bouldin, LPC
-
Jessie Lee Davis, LPC, NCC
-
Mary Lynn Parker, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240320004299 | MS | Part B Supplier - Clinic/Group Practice | 8022455427 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MS |
National Provider Directory
Locations
4500 I 55 N
Ste 230
Jackson, MS 39211
4500 I 55 N
Ste 208
Jackson, MS 39211
Phone (601) 292-6260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | Yes | ||
| Psychoanalyst |
102L00000X | |||
| Behavior Analyst |
103K00000X |
Addresses
Primary practice location
4500 I 55 N Ste 208
Jackson, MS 39211-5931
Mailing address
PO Box 12195
Jackson, MS 39236-2195
Phone (601) 292-6260
Other names
- Mindful Solutions, LLC
Other providers in Jackson, MS
- Garland Kline Milner
- Matthew L Milner
- Andrea Nicole Milton
- Latricia Eubanks Mimbs
- Tiffany Nicole Mims
- Billy E. Mink Jr.
- Vicky Dianne Minninger
- Minor Med Care, LLC
- Candy D Minor
- Garrett McTyre Minor
All providers in Jackson, MS · Professional Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.