Mindful Self Care Therapy, LLC
NPI 1205594108 · Psychologist · West Orange, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mindful Self Care Therapy, LLC is a Psychologist organization in West Orange, NJ (NPI 1205594108).
Provider details
- NPI number
- 1205594108
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Debra Gill, Owner(973) 820-5174
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 7140 Prosperity CirSarasota, FL 34238-1503Phone: (973) 820-5174
Registry dates
- Enumerated
- 2021-12-08
- Last updated
- 2021-12-08
- Certified
- 2021-12-08
Frequently asked questions
- What is Mindful Self Care Therapy, LLC's NPI number?
- Mindful Self Care Therapy, LLC's National Provider Identifier (NPI) is 1205594108, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mindful Self Care Therapy, LLC?
- Mindful Self Care Therapy, LLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Mindful Self Care Therapy, LLC located?
- Mindful Self Care Therapy, LLC's practice location on file with NPPES is 46 Underwood Dr, West Orange, NJ 07052-1323.
- What is Mindful Self Care Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mindful Self Care Therapy, LLC is (973) 820-5174.
- Does Mindful Self Care Therapy, LLC accept Medicare?
- Mindful Self Care Therapy, LLC 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 Mindful Self Care Therapy, LLC?
- The authorized official listed on Mindful Self Care Therapy, LLC's NPPES record is Debra Gill, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mindful Self Care Therapy, LLC's NPI active?
- Yes — Mindful Self Care Therapy, LLC's NPI (1205594108) is active in the NPPES registry as of the last update on 2021-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.