Mind Body Rise
NPI 1003481755 · Clinical Social Worker · Stonington, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Body Rise is a Clinical Social Worker organization in Stonington, CT (NPI 1003481755).
Provider details
- NPI number
- 1003481755
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Terri Fogg Donovan, Owner(860) 912-9584
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Mind Body Rise's NPI number?
- Mind Body Rise's National Provider Identifier (NPI) is 1003481755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Body Rise?
- Mind Body Rise is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mind Body Rise located?
- Mind Body Rise's practice location on file with NPPES is 808 Stonington Rd Ste 200, Stonington, CT 06378-2517.
- What is Mind Body Rise's phone number?
- The practice phone number listed in the NPPES registry for Mind Body Rise is (860) 535-9922.
- Does Mind Body Rise accept Medicare?
- Mind Body Rise is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Body Rise?
- The authorized official listed on Mind Body Rise's NPPES record is Terri Fogg Donovan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Body Rise's NPI active?
- Yes — Mind Body Rise's NPI (1003481755) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.