Carissa Robinson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5571665-4405 Issued in UT

Practice address

1221 S Valley Grove Way Ste 160
Pleasant Grove, UT 84062-6758

Phone

(801) 477-7189

Fax

(888) 745-9274

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whole Mind LLCGroup PAC ID 6406228220, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Whole Mind LLC

  • Psychiatry Physician
  • Pleasant Grove, UT
  • NPI 1659084879
  Medicare reassignment Care Compare group NPD
• Bloom Mental Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • American Fork, UT
  • NPI 1508705229
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1003627308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 N 90 EAST CIR",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031256",
            "telephone_number": "801-358-8861",
            "fax_number": "801-421-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S VALLEY GROVE WAY STE 160",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626758",
            "telephone_number": "801-477-7189",
            "fax_number": "888-745-9274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 N 490 W",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032264",
            "country_code": "US",
            "telephone_number": "801-659-8671",
            "fax_number": "801-421-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "5571665-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Richardson
• Brannick Barton Riggs, M.D.
• Robert Ringger
• Kara Ripplinger, CNM
• Ryan Roberts
• Rocky Mountain Clinical LLC
• Kristin Michele Rodgerson, FNP
• Evelyn Rollins
• Wendy Romero
• Michael Alan Rosen

• Psychiatric/Mental Health Nurse Practitioner in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.