Mindful Oasis LLC

Primary specialty

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

Legal business name

MINDFUL OASIS LLC

Practice address

580 Lynnhaven Pkwy Ste 20
Virginia Beach, VA 23452-7333

Phone

(757) 720-1040

Fax

(757) 720-1041

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Mariam Bouanane-Smith, PMHNP-BCNPI 1053024026

Title

Owner

Phone

(757) 720-1040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariam Sophia Bouanane-Smith, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1053024026
  Medicare reassignment NPD Authorized official
• Deborah Lynn Story, PSY.D.

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1093909145
  NPD

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1366260150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LYNNHAVEN PKWY STE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527333",
            "telephone_number": "757-720-1040",
            "fax_number": "757-720-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LYNNHAVEN PKWY STE 20",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527333",
            "telephone_number": "757-720-1040",
            "fax_number": "757-720-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BOUANANE-SMITH",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-720-1040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

• Mind Align Health LLC
• Mind Over Matter Therapy
• Tamara Regina Minder
• Mindful Ascent Psychotherapy LLC
• Mindful Care Resolutions LLC
• Mindful Wellness Care LLC
• Mindset Mobility LLC
• Kathleen Lynch Miner, MSW, LCSW
• Lyric Tynise Mines
• Jasprina Lenette Ming, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia Beach, VA
• Providers in Virginia Beach, 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 Aug 19, 2026; 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.