Active NPI
Mind Body Spirit LLC
- Mental Health Counselor
- Melbourne, FL
National Provider Identifier
1679403737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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, QS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Melbourne, FL
- NPI 1851998546
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.