Mindful Therapy Group – Clinical Social Worker, NPI 1316238678
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Mindful Therapy Group
123 NW 36th St Ste 210
Seattle, WA 981074959
Phone: (206) 402-5767
Fax: (206) 420-1238
Type: Location
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 980436200
Phone: (425) 640-7009
Fax: (425) 640-9600
Type: Location
5440 SW Westgate Dr Ste 350
Portland, OR 972212447
Phone: (971) 352-6971
Fax: (971) 352-6984
Type: Location
8215 S Eastern Ave Ste 109
Las Vegas, NV 891232515
Phone: (725) 213-1103
Type: Location
7600 NE 41st St Ste 200
Vancouver, WA 986626772
Phone: (425) 477-4217
Type: Location
11740 SW 68th Pkwy Ste 200
Portland, OR 972239058
Phone: (425) 477-4216
Type: Location
950 Broadway Ste 404
Tacoma, WA 984024454
Phone: (206) 774-8557
Type: Location
675 Orchard Heights Rd NW Ste 200
Salem, OR 973043042
Phone: (503) 922-0820
Type: Location
1250 W Washington St Ste 215
Tempe, AZ 852881697
Phone: (602) 842-7042
Type: Location
1500 NE Irving St Ste 210
Portland, OR 972322243
Phone: (425) 477-4215
Type: Location
21907 64TH AVE W
STE 200
MOUNTLAKE TERRACE, WA 980436200
Phone: (425) 640-7009
Fax: (425) 640-9600
Type: Location
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 980432089
Phone: (425) 640-7009
Fax: (425) 640-9600
Type: Mailing
7100 Fort Dent Way Ste 220
Tukwila, WA 981888553
Phone: (206) 708-7274
Fax: (206) 708-7591
Type: Location
101 Elliott Ave W Ste 500
Seattle, WA 981194292
Phone: (206) 708-6432
Fax: (206) 294-3290
Type: Location
201 W North River Dr Ste 301
Spokane, WA 992012262
Phone: (509) 903-0103
Type: Location
10740 Meridian Ave N Ste 110
Seattle, WA 981339010
Phone: (206) 453-5707
Fax: (206) 453-5816
Type: Location
4670 S Fort Apache Rd Ste 180
Las Vegas, NV 891477961
Phone: (725) 213-1103
Fax: (425) 678-6455
Type: Location
1626 N Litchfield Rd Ste 220
Goodyear, AZ 853951332
Phone: (623) 306-7500
Fax: (602) 294-2385
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-10-31 (145 days away).
Enrollment records
5
Earliest due date
2026-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110726000730 | O | Clinic/Group Practice | WA | TBD |
| O20210301001586 | O | Clinic/Group Practice | OR | 2026-10-31 |
| O20240408001292 | O | Clinic/Group Practice | NV | TBD |
| O20240501000807 | O | Clinic/Group Practice | AZ | TBD |
| O20250815001221 | O | Clinic/Group Practice | TX | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98107)
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