A Mindful Space Psychotherapy, LLC
NPI 1851115158 · Clinical Psychologist · Oakland Park, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
A Mindful Space Psychotherapy, LLC is a Clinical Psychologist organization in Oakland Park, FL (NPI 1851115158).
Provider details
- NPI number
- 1851115158
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jerrod Johnson, Ceo(954) 574-2013
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
- 2024-11-13
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Frequently asked questions
- What is A Mindful Space Psychotherapy, LLC's NPI number?
- A Mindful Space Psychotherapy, LLC's National Provider Identifier (NPI) is 1851115158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Mindful Space Psychotherapy, LLC?
- A Mindful Space Psychotherapy, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is A Mindful Space Psychotherapy, LLC located?
- A Mindful Space Psychotherapy, LLC's practice location on file with NPPES is 1400 Nw 41st Ct, Oakland Park, FL 33309-4520.
- What is A Mindful Space Psychotherapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for A Mindful Space Psychotherapy, LLC is (954) 574-2013.
- Does A Mindful Space Psychotherapy, LLC accept Medicare?
- A Mindful Space Psychotherapy, 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 A Mindful Space Psychotherapy, LLC?
- The authorized official listed on A Mindful Space Psychotherapy, LLC's NPPES record is Jerrod Johnson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Mindful Space Psychotherapy, LLC's NPI active?
- Yes — A Mindful Space Psychotherapy, LLC's NPI (1851115158) is active in the NPPES registry as of the last update on 2024-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.