Mmj Mindful Wellness LLC
NPI 1215811187 · Psychiatric/Mental Health Nurse Practitioner · Coral Gables, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mmj Mindful Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Coral Gables, FL (NPI 1215811187).
Provider details
- NPI number
- 1215811187
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Lazo, Pmhnp(786) 531-6462
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-08-04
- Last updated
- 2025-08-04
- Certified
- 2025-07-09
Frequently asked questions
- What is Mmj Mindful Wellness LLC's NPI number?
- Mmj Mindful Wellness LLC's National Provider Identifier (NPI) is 1215811187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmj Mindful Wellness LLC?
- Mmj Mindful Wellness LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mmj Mindful Wellness LLC located?
- Mmj Mindful Wellness LLC's practice location on file with NPPES is 1172 S Dixie Hwy, Coral Gables, FL 33146-2918.
- What is Mmj Mindful Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Mmj Mindful Wellness LLC is (305) 914-0386.
- Does Mmj Mindful Wellness LLC accept Medicare?
- Mmj Mindful Wellness 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 Mmj Mindful Wellness LLC?
- The authorized official listed on Mmj Mindful Wellness LLC's NPPES record is Jessica Lazo, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmj Mindful Wellness LLC's NPI active?
- Yes — Mmj Mindful Wellness LLC's NPI (1215811187) is active in the NPPES registry as of the last update on 2025-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.