Organization Active NPI

Mindfulife Therapy, LLC

  • Clinical Social Worker
  • Crystal River, FL
National Provider Identifier
1841996329
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDFULIFE THERAPY, LLC
Practice address
690 NE 3Rd Ave Ste 103
Crystal River, FL 34428-3541
Phone
(352) 477-1187
NPI assigned
Feb 6, 2023
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
Jacinda Lynn Laundree, LCSWNPI 1740556018
Title
Owner/Operator
Phone
(352) 477-1187

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

690 NE 3Rd Ave Ste 103
Crystal River, FL 34428-3541

Mailing address

690 NE 3Rd Ave Ste 103
Crystal River, FL 34428-3541
Phone (352) 477-1187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230704000387 FL Part B Supplier - Clinic/Group Practice 2567821911 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal River, FL

National Provider Directory

National Provider Directory

Locations

690 NE 3rd Ave
Ste 103
Crystal River, FL 34428
Phone (352) 477-1187

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1841996329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 NE 3RD AVE STE 103",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283541",
            "telephone_number": "352-477-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 NE 3RD AVE STE 103",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283541",
            "telephone_number": "352-477-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULIFE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "LAUNDREE",
        "authorized_official_first_name": "JACINDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "352-477-1187",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, 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.