Organization Active NPI

Minds-N-Motion Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Jackson, OH
National Provider Identifier
1053170886
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDS-N-MOTION WELLNESS LLC
Doing business as
Minds-N-Motion Wellness LLC
Practice address
10927 Mahoning Ave
North Jackson, OH 44451-8705
Phone
(844) 408-3998
Fax
(330) 953-2300
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mrs. Melissa Novits, APRN, FNP-C,PMHNP-CNPI 1073939633
Title
Nurse Practitioner
Phone
(844) 408-3998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

10927 Mahoning Ave
North Jackson, OH 44451-8705

Mailing address

507 Wilcox Rd Apt a
Youngstown, OH 44515-6229
Phone (740) 317-3237

Other names 1

  • Minds-N-Motion Wellness LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808000490 OH Part B Supplier - Clinic/Group Practice 7214474287 Receives reassigned benefits from 2 practitioners
Practice locations: North Jackson, OH

National Provider Directory

National Provider Directory

Locations

10927 Mahoning Ave
North Jackson, OH 44451
Phone (844) 408-3998

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1053170886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 WILCOX RD APT A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445156229",
            "telephone_number": "740-317-3237",
            "fax_number": "330-953-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 MAHONING AVE",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "444518705",
            "telephone_number": "844-408-3998",
            "fax_number": "330-953-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS-N-MOTION WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "NOVITS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "844-408-3998",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP-C,PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minds-N-Motion Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.