Organization Active NPI

Mindful Healing and Wellness LLC

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1649978982
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDFUL HEALING AND WELLNESS LLC
Practice address
4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939
Phone
(262) 282-3253
Fax
(414) 212-8988
NPI assigned
Feb 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Herbert C Raasch, DNP, APNP, PMHNP-BCNPI 1659836609
Title
Psychiatric Nurse Practitioner
Phone
(262) 282-3253

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939

Mailing address

4915 S Howell Ave Ste 503
Milwaukee, WI 53207-5939
Phone (262) 282-3253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017003985 WI Part B Supplier - Clinic/Group Practice 5799130399 Receives reassigned benefits from 1 practitioner
Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Locations

4915 S Howell Ave
Ste 503
Milwaukee, WI 53207
Phone (262) 282-3253

5007 S Howell Ave
Ste 350
Milwaukee, WI 53207
Phone (309) 826-7273

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1649978982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 S HOWELL AVE STE 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075939",
            "telephone_number": "262-282-3253",
            "fax_number": "414-212-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 S HOWELL AVE STE 503",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075939",
            "telephone_number": "262-282-3253",
            "fax_number": "414-212-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HEALING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "RAASCH",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "262-282-3253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APNP,  PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.