Organization Active NPI

Mind Body Spirit LLC

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1679403737
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND BODY SPIRIT LLC
Practice address
1380 Sarno Rd Ste C
Melbourne, FL 32935-5214
Phone
(802) 391-9104
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mr. John Martin Powell, M.S.,LMHC, NCC, QSNPI 1851998546
Title
Sole Owner
Phone
(802) 391-9104

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

1380 Sarno Rd Ste C
Melbourne, FL 32935-5214

Mailing address

1380 Sarno Rd Ste C
Melbourne, FL 32935-5214
Phone (802) 391-9104

National Provider Directory

National Provider Directory

Locations

1380 Sarno Rd
Ste C
Melbourne, FL 32935
Phone (802) 391-9104

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1679403737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 SARNO RD STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355214",
            "telephone_number": "802-391-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 SARNO RD STE C",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355214",
            "telephone_number": "802-391-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "802-391-9104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,LMHC, NCC, QS"
    },
    "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 Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.