Organization Active NPI

Mindful Life, LLC

  • Mental Health Counselor
  • Charlestown, IN
National Provider Identifier
1508611690
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDFUL LIFE, LLC
Practice address
5936 Juniper Ridge Dr
Charlestown, IN 47111-8646
Phone
(812) 595-9349
Fax
(812) 717-3658
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Destini Napier, LMHCNPI 1679239412
Title
Therapist
Phone
(812) 595-9349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5936 Juniper Ridge Dr
Charlestown, IN 47111-8646

Mailing address

5936 Juniper Ridge Dr
Charlestown, IN 47111-8646
Phone (812) 595-9349

Other practice location 1

2855 Charlestown Rd Ste 100
New Albany, IN 47150-2691
Phone (812) 989-9681

Other practice location 2

433 N Indiana Ave
Sellersburg, IN 47172-1224
Phone (812) 989-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240701001046 IN Part B Supplier - Clinic/Group Practice 8921542036 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, IN

National Provider Directory

National Provider Directory

Locations

2855 Charlestown Rd
Ste 100
New Albany, IN 47150
Phone (812) 989-9681

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1508611690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 JUNIPER RIDGE DR",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118646",
            "telephone_number": "812-595-9349",
            "fax_number": "812-717-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 JUNIPER RIDGE DR",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118646",
            "telephone_number": "812-595-9349",
            "fax_number": "812-717-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Charlestown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502691",
            "country_code": "US",
            "telephone_number": "812-989-9681",
            "fax_number": "812-717-3658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Sellersburg",
            "state": "IN",
            "postal_code": "471721224",
            "country_code": "US",
            "telephone_number": "812-989-9681",
            "fax_number": "812-717-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "NAPIER",
        "authorized_official_first_name": "DESTINI",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "812-595-9349",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.