Organization Active NPI

Mindful Heart Organization Inc

  • Community Health Worker
  • Milton, FL
National Provider Identifier
1609730654
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
MINDFUL HEART ORGANIZATION INC
Practice address
5897 Little Leaf CT
Milton, FL 32570-3501
Phone
(850) 490-7829
Fax
(850) 304-0995
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Marc Daniel Whittlesay Jr.NPI 1124772413
Title
Owner
Phone
(850) 490-7829

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
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

5897 Little Leaf CT
Milton, FL 32570-3501

Mailing address

5897 Little Leaf CT
Milton, FL 32570-3501
Phone (850) 490-7829

National Provider Directory

National Provider Directory

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": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1609730654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5897 LITTLE LEAF CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325703501",
            "telephone_number": "850-490-7829",
            "fax_number": "850-304-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5897 LITTLE LEAF CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325703501",
            "telephone_number": "850-490-7829",
            "fax_number": "850-304-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEART ORGANIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-14",
        "status": "A",
        "authorized_official_last_name": "WHITTLESAY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-490-7829",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.