Organization Active NPI

Mindful Intentions, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesterfield, VA
National Provider Identifier
1689533804
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL INTENTIONS, LLC
Practice address
10106 Krause Rd Ste 102
Chesterfield, VA 23832-6503
Phone
(804) 446-4601
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Allison Y Douglas-Clements, DNP, PMHNP-BCNPI 1649391418
Title
Owner
Phone
(804) 446-4601

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

10106 Krause Rd Ste 102
Chesterfield, VA 23832-6503

Mailing address

PO Box 2065
Chesterfield, VA 23832-9110

National Provider Directory

National Provider Directory

Locations

10106 Krause Rd
Ste 102
Chesterfield, VA 23832
Phone (804) 446-4601

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": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1689533804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 KRAUSE RD STE 102",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326503",
            "telephone_number": "804-446-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL INTENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS-CLEMENTS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-446-4601",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.