Mind Spa LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9595 Issued in FL

Legal business name

MIND SPA LLC

Practice address

365 5TH Ave S
Naples, FL 34102-6575

Phone

(239) 307-0886

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lauren K Mason, PH.D.NPI 1194033175

Title

Licensed Psychologist/Director

Phone

(202) 321-9117

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Keysha Mason, PH.D.

  • Clinical Psychologist
  • Bethesda, MD
  • NPI 1194033175

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1922544063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 66TH ST SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341057322",
            "telephone_number": "202-321-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 5TH AVE S",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026575",
            "telephone_number": "239-307-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 Saint Elmo Ave Ste 504",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208146019",
            "country_code": "US",
            "telephone_number": "202-321-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "202-321-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Naples",
            "affiliation": "N",
            "address_1": "365 5th Ave S",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341026575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carla Mills, ARNP
• Mackenzie Mills
• Nicole Leigh Mills, DNP, FNP-C, APRN
• James Milne
• Mind & Medicine Psychiatric Associates LLC
• Mindflow, LLC
• Mindful Health Organization Inc.
• Mindful Move With Maria LLC
• Mindful Solutions Therapy, LLC
• Mindful Therapeutics, LLC

• All providers in Naples, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.