Mindful Mental and Behavioral Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC

Practice address

1110 SE Alder Street
Suite 301
Portland, OR 97214-2400

Phone

(207) 316-2609

Fax

(325) 237-7921

NPI assigned

Nov 27, 2020

Last updated

Sep 13, 2023By 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

Mrs. Andrna Erica ChristopherNPI 1316507437

Title

Owner

Phone

(207) 316-2609

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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, and the practitioner matching its NPPES authorized official.

• Karen Albert, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Madawaska, ME
  • NPI 1619405347
  Medicare reassignment NPD
• Andrna Erica Christopher, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1316507437
  Authorized official Same address or phone

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1619571973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER STREET",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "207-316-2609",
            "fax_number": "325-237-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SE ALDER STREET",
            "address_2": "SUITE 301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142400",
            "telephone_number": "207-316-2609",
            "fax_number": "325-237-7921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 Northwest Leary Way West Woodland",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98107",
            "country_code": "US",
            "telephone_number": "207-316-2609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL MENTAL AND BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "ANDRNA",
        "authorized_official_middle_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-316-2609",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Awakenings, LLC
• Mindful Growth and Wellness LLC (Emily DeMarco, MD)
• Mindful Health Northwest LLC
• Mindful Kinetics LLC
• Mindful Medicine, PC
• Mindful Movement Rehabilitation LLC
• Mindful Movement Therapies LLC (Mindful Movement Therapies)
• Mindful One Wellness Solutions
• Mindful Path
• Mindful Steps Therapy

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.