Organization Active NPI

Mind Body and Soul Integrative Services LLC

  • Social Worker
  • Flushing, MI
National Provider Identifier
1912680422
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MIND BODY AND SOUL INTEGRATIVE SERVICES LLC
Practice address
3114 Pinegate Dr
Flushing, MI 48433-2427
Phone
(810) 243-3232
NPI assigned
Aug 10, 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
Lyndsey RodgersNPI 1659508661
Title
Owner
Phone
(810) 691-8869

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

3114 Pinegate Dr
Flushing, MI 48433-2427

Mailing address

3114 Pinegate Dr
Flushing, MI 48433-2427
Phone (810) 243-3232

Other practice location 1

5370 Miller Rd Ste 21
Swartz Creek, MI 48473-1542
Phone (810) 243-3232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926000386 MI Part B Supplier - Clinic/Group Practice 6305290339 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, MI

National Provider Directory

National Provider Directory

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": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1912680422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 PINEGATE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332427",
            "telephone_number": "810-243-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 PINEGATE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332427",
            "telephone_number": "810-243-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5370 Miller Rd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Swartz Creek",
            "state": "MI",
            "postal_code": "484731542",
            "country_code": "US",
            "telephone_number": "810-243-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY AND SOUL INTEGRATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "LYNDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-691-8869"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

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.