Active NPI
Mindful Clarity Psychiatric Solutions, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Orange City, FL
National Provider Identifier
1679375661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MINDFUL CLARITY PSYCHIATRIC SOLUTIONS, PLLC
- Practice address
- 2060 Sherwood Forest Dr
Orange City, FL 32763-6355 - Phone
- (407) 453-3506
- NPI assigned
- Mar 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Thomas Lebron, APRN
- Title
- Manager
- Phone
- (407) 453-3506
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2060 Sherwood Forest Dr
Orange City, FL 32763-6355
Mailing address
2060 Sherwood Forest Dr
Orange City, FL 32763-6355
Phone (407) 453-3506
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Orange City, FL
- NPI 1801641469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1679375661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 SHERWOOD FOREST DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327636355",
"telephone_number": "407-453-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 SHERWOOD FOREST DR",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327636355",
"telephone_number": "407-453-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL CLARITY PSYCHIATRIC SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "LEBRON",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-453-3506",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.