Mind Body Splendid Sun
NPI 1104638519 · Clinical Social Worker · Falling Waters, WV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Body Splendid Sun is a Clinical Social Worker organization in Falling Waters, WV (NPI 1104638519).
Provider details
- NPI number
- 1104638519
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Micheal Lee, Manager Credentialing(786) 791-7529
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
1 yr 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
- 2025-01-22
- Last updated
- 2025-02-02
- Certified
- 2025-02-02
Frequently asked questions
- What is Mind Body Splendid Sun's NPI number?
- Mind Body Splendid Sun's National Provider Identifier (NPI) is 1104638519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Body Splendid Sun?
- Mind Body Splendid Sun is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mind Body Splendid Sun located?
- Mind Body Splendid Sun's practice location on file with NPPES is 185 Montreal Way, Falling Waters, WV 25419-0109.
- What is Mind Body Splendid Sun's phone number?
- The practice phone number listed in the NPPES registry for Mind Body Splendid Sun is (681) 242-3799.
- Does Mind Body Splendid Sun accept Medicare?
- Mind Body Splendid Sun 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 Splendid Sun?
- The authorized official listed on Mind Body Splendid Sun's NPPES record is Micheal Lee, Manager Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Body Splendid Sun's NPI active?
- Yes — Mind Body Splendid Sun's NPI (1104638519) is active in the NPPES registry as of the last update on 2025-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.