Mindful Embrace Therapy LLC
Organization Active NPI Mental Health Counselor · Dayton, IN
NPI 1184516619 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1184516619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- MINDFUL EMBRACE THERAPY LLC
- Practice address
- 616 Paden Dr # 444
Dayton, IN 47941-8029 - Phone
- (765) 239-9711
- NPI assigned
- Jul 18, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Kevin David Semmes Jr Jr., LMHC
- Title
- Mental Health Therapist
- Phone
- (765) 239-9711
Practitioners 1
-
Kevin David Semmes Jr., LMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260407003091 | IN | Part B Supplier - Clinic/Group Practice | 4486129483 |
Receives reassigned benefits from 1 practitioner Practice locations: Dayton, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
616 Paden Dr # 444
Dayton, IN 47941-8029
Mailing address
616 Paden Dr # 444
Dayton, IN 47941-8029
Phone (765) 239-9711
Other providers in Dayton, IN
- Christopher G Christmas
- Kalib Luke McBride
- Emilie Nicole Miley
- Premise Health of Indiana Medical PC
- Aubree Lynne Reich
- Kevin David Semmes Jr.
All providers in Dayton, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 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.