Mindescape LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MINDESCAPE LLC

Practice address

27911 Crown Lake Blvd
Bonita Springs, FL 34135-4210

Phone

(800) 961-3367

Fax

(800) 961-3367

NPI assigned

Aug 29, 2024

Last updated

May 29, 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

Mavelyn Millard

Title

Director

Phone

(800) 681-1403

Specialties & licenses 6

Addresses

Locations

Practitioners 3

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.

• Audra Colleen Davis

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1578801726
  NPD
• Marina Chitoroga

  • Behavior Technician
  • Fort Myers, FL
  • NPI 1285468595
  NPD (past)
• Edwin Anthony Richardson Jr.

  • Behavior Analyst
  • Orlando, FL
  • NPI 1629684626
  NPD (past)

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1760216915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 CROWN LAKE BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354210",
            "telephone_number": "800-861-1403",
            "fax_number": "800-861-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27911 CROWN LAKE BLVD",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354210",
            "telephone_number": "800-961-3367",
            "fax_number": "800-961-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7273 Vanderbilt Beach Rd Ste 31",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341191479",
            "country_code": "US",
            "telephone_number": "800-681-1403",
            "fax_number": "800-961-3367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDESCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "MAVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-681-1403"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Physician Group LLC
• Joel Scott Miller, DC
• Shawn B Miller, MD
• Kendall Millman, RBT
• Mind/Mood Counseling & Coaching Centers of SWFL, PLLC (Reginald Bruno, EdD, LCSW, MCAP)
• Mindful Musical Minds Behavior Solutions
• Timothy S Mingee, PA-C
• Mini Miracles Pediatrics Medical Daycare Inc
• Nicole Marie Minkley, LMT
• Misty Mountain Family Enrichment Center (Southwest Florida Christian Counseling)

• Behavior Analyst in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.