Organization Active NPI

Mindful Over Matter Psychiatry & Wellness Dba Mindful Over Matter

  • Family Nurse Practitioner
  • Palm Springs, FL
National Provider Identifier
1689487639
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MINDFUL OVER MATTER PSYCHIATRY & WELLNESS DBA MINDFUL OVER MATTER
Practice address
1261 S Congress Ave
Palm Springs, FL 33406-5172
Phone
(561) 814-8143
Fax
(855) 526-7606
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Jessica Kofman, FNP-BC, PMHNP-BCNPI 1306534961
Title
Owner
Phone
(561) 814-8143

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1261 S Congress Ave
Palm Springs, FL 33406-5172

Mailing address

11017 Mulberry Garden TRL
Boynton Beach, FL 33473-5091
Phone (561) 814-8143

Other names 1

  • Mindful Over Matter Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250605000866 FL Part B Supplier - Clinic/Group Practice 2668981168 Receives reassigned benefits from 2 practitioners
Practice locations: Delray Beach, FL

National Provider Directory

National Provider Directory

Locations

3275 W Hillsboro Blvd
Ste 206
Deerfield Beach, FL 33442
Phone (561) 794-3014

550 SE 6th Ave
Ste 200M
Delray Beach, FL 33483
Phone (561) 814-8143

Practitioners & affiliated clinicians

Practitioners 2

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1689487639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 MULBERRY GARDEN TRL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334735091",
            "telephone_number": "561-814-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334065172",
            "telephone_number": "561-814-8143",
            "fax_number": "855-526-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL OVER MATTER PSYCHIATRY & WELLNESS DBA MINDFUL OVER MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-814-8143",
        "authorized_official_credential": "FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Over Matter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.