OrganizationActive
Mindful Legacy LLC
NPI 1013606326 · Counselor · Fairfax, VA
Provider details
- NPI number
- 1013606326
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Shekila Melchior, Licensed Professional Counselor(336) 301-9765
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4229 Jefferson Oaks Cir Apt B
Fairfax, VA 22033-4071
Phone: (703) 718-6413
Street-level locationGet directions
Mailing address
12587 Fair Lakes Cir # 406
Fairfax, VA 22033-3822
Registry dates
- Enumerated
- 2023-05-02
- Last updated
- 2023-12-11
- Certified
- 2023-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.