Integrative Mind Body Therapy, LLC
NPI 1407594153 · Professional Counselor · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Integrative Mind Body Therapy, LLC is a Professional Counselor organization in Charleston, SC (NPI 1407594153).
Provider details
- NPI number
- 1407594153
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Fracica, Owner and Sole Member(816) 752-6631
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
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
- 2022-05-23
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Frequently asked questions
- What is Integrative Mind Body Therapy, LLC's NPI number?
- Integrative Mind Body Therapy, LLC's National Provider Identifier (NPI) is 1407594153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrative Mind Body Therapy, LLC?
- Integrative Mind Body Therapy, LLC is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Integrative Mind Body Therapy, LLC located?
- Integrative Mind Body Therapy, LLC's practice location on file with NPPES is 2511 Stadium Dr, Charleston, SC 29406-6606.
- What is Integrative Mind Body Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrative Mind Body Therapy, LLC is (816) 752-6631.
- Does Integrative Mind Body Therapy, LLC accept Medicare?
- Integrative Mind Body 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 Integrative Mind Body Therapy, LLC?
- The authorized official listed on Integrative Mind Body Therapy, LLC's NPPES record is Lisa Fracica, Owner and Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrative Mind Body Therapy, LLC's NPI active?
- Yes — Integrative Mind Body Therapy, LLC's NPI (1407594153) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.