Organization Active NPI

Mindful Harmony Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1982445367
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL HARMONY INC
Practice address
4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457
Phone
(561) 215-9959
Fax
(561) 461-6238
NPI assigned
Jun 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Courtney Walter, APRNNPI 1699372987
Title
President/Aprn
Phone
(561) 215-9959

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457

Mailing address

4400 W Sample Rd Ste 112P
Coconut Creek, FL 33073-3457
Phone (561) 215-9959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001004540 FL Part B Supplier - Clinic/Group Practice 4688105695 Receives reassigned benefits from 1 practitioner
Practice locations: Coconut Creek, FL

National Provider Directory

National Provider Directory

Locations

4400 W Sample Rd
Ste 112P
Coconut Creek, FL 33073
Phone (561) 215-9959

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": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1982445367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 112P",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733457",
            "telephone_number": "561-215-9959",
            "fax_number": "561-516-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W SAMPLE RD STE 112P",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733457",
            "telephone_number": "561-215-9959",
            "fax_number": "561-461-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL HARMONY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT/APRN",
        "authorized_official_telephone_number": "561-215-9959",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

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