Myndful Impact PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MYNDFUL IMPACT PLLC

Practice address

13100 Wortham Center Dr Ste 366
Houston, TX 77065-5635

Phone

(260) 246-8800

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Breanna Cansler, LCSW-SNPI 1366173148

Title

Chief Executive Director

Phone

(260) 246-8800

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Breanna D Cansler, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1366173148

  IN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1467264366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NORTH LOOP W 242F #1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081657",
            "telephone_number": "260-246-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR STE 366",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655635",
            "telephone_number": "260-246-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNDFUL IMPACT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CANSLER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-246-8800",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymedihealthcare.Com LLC
• Adrienne Lynette Mynatt, NP
• Kathleen Elizabeth Mynatt
• Susan Mynatt, AUDIOLOGIST
• Amy Mynderse, M.D.
• Myndful Outreach
• Myofascial Pain Center
• Myoung Shin Hilson Psychotherapy
• Ahmed Myrick, LMSW
• Uriah Myrie, ATC

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.