Organization Active NPI

Mindful Beginnings Center of Healing PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1851269773
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL BEGINNINGS CENTER OF HEALING PLLC
Practice address
16912 Blue Heron Dr
Orland Park, IL 60467-5491
Phone
(708) 696-1088
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Janine WattersNPI 1437849171
Title
Pmhnp/ Owner
Phone
(708) 696-1088

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

16912 Blue Heron Dr
Orland Park, IL 60467-5491

Mailing address

16912 Blue Heron Dr
Orland Park, IL 60467-5491
Phone (708) 696-1088

Other practice location 1

276 5th Ave
Suite 605
New York, NY 10001-4527
Phone (708) 696-1088

National Provider Directory

National Provider Directory
Tax ID family
Mindful Beginnings Center of Healing PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

276 5th Ave
Rm 605
New York, NY 10001
Phone (708) 696-1088

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": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1851269773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16912 BLUE HERON DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675491",
            "telephone_number": "708-696-1088",
            "fax_number": "708-696-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16912 BLUE HERON DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675491",
            "telephone_number": "708-696-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 5th Ave",
            "address_2": "Suite 605",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014527",
            "country_code": "US",
            "telephone_number": "708-696-1088",
            "fax_number": "708-696-1093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL BEGINNINGS CENTER OF HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PMHNP/ OWNER",
        "authorized_official_telephone_number": "708-696-1088"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

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