Mindful Innovations LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MINDFUL INNOVATIONS LLC

Practice address

106 Vista Heights Dr
Ruckersville, VA 22968-9510

Phone

(804) 723-6463

NPI assigned

Feb 13, 2023

Last updated

Jun 23, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Ryan McCoullNPI 1235607540

Title

Owner

Phone

(804) 920-6450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Ryan McCoull, LPC, LSATP

  • Professional Counselor
  • Ruckersville, VA
  • NPI 1235607540
  Medicare reassignment Care Compare group NPD Authorized official
• Ashli Gregory

  • Professional Counselor
  • Ruckersville, VA
  • NPI 1154922342
  Medicare reassignment Care Compare group NPD
• Emily Kerschen

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1932821667
  Medicare reassignment NPD
• Katie Bell, LPC

  • Professional Counselor
  • Ruckersville, VA
  • NPI 1063102895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1194422907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VISTA HEIGHTS DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229689510",
            "telephone_number": "804-723-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 VISTA HEIGHTS DR",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229689510",
            "telephone_number": "804-723-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-06-23",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCOULL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-920-6450"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Magnone, FNP
• Carla Mangine, OTR/L
• William Ryan McCoull, LPC, LSATP
• Melanie E. Canada
• Cory Merva
• Dannette Nichelle Morris, FNP-C
• Kelsey Morris
• Natalie L Murphy, ARNP
• Crystal D Myers, LPC
• Cynthia Falk Napier, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ruckersville, VA
• Providers in Ruckersville, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.