Mind and Body Healthcare

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIND AND BODY HEALTHCARE

Practice address

137 Terrace PL
Jackson, TN 38301-4836

Phone

(731) 435-3060

NPI assigned

May 15, 2021

Organization subpart

No

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

Authorized official

Name

Lori Kay Jenkins, APNNPI 1740284728

Title

Owner/ Nurse Practitioner

Phone

(731) 435-3060

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23763/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Kay Jenkins, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
  • NPI 1740284728
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1043884992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 TERRACE PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014836",
            "telephone_number": "731-435-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 TERRACE PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014836",
            "telephone_number": "731-435-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "731-435-3060",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Mills
• Carl D Mills, LMT
• Chelsea Lauren Cooper Mills, MD
• Mark John Milone, MD
• Tatevik Minasyan, MD
• Tyler Anthony Mineo, DO
• Minor Request
• Andrew Minor
• Christy F Minor, MD
• Mable Minor

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, TN
• Providers in Jackson, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.