Mind Body Wellness Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW14906 Issued in FL

Legal business name

MIND BODY WELLNESS GROUP LLC

Doing business as

Mind Body Wellness Group LLC

Practice address

7901 4TH St N Ste 307
St Petersburg, FL 33702-4313

Phone

(727) 310-5520

NPI assigned

Aug 24, 2018

Last updated

Oct 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Wallace Stone Jr.NPI 1629433636

Title

Authorized Manager

Phone

(727) 310-5520

Specialties & licenses 1

Addresses

Other names 1

• Mind Body Wellness Group LLC Doing business as

Locations

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.

• John Wallace Stone Jr., MSW

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1629433636
  NPD Authorized official

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1750862017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 22ND AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043527",
            "telephone_number": "727-310-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 307",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024313",
            "telephone_number": "727-310-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "AUTHORIZED MANAGER",
        "authorized_official_telephone_number": "727-310-5520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW14906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Wellness Group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.