OrganizationActive
Mindful Wellness LLC
NPI 1215682455 · Mental Health Clinic/Center (Including Community Mental Health Center) · South Portland, ME
Provider details
- NPI number
- 1215682455
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krystle Ladd, Owner(443) 359-1706
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
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
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
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Phone: (443) 359-1706
Approximate (ZIP-level) locationGet directions
Mailing address
119 Quail Trl
Buxton, ME 04093-3219
Other names (DBA / former)
- Other name
- Mindful Wellness
- Other name
- Mindful Wellness
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2025-01-23
- Certified
- 2025-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.