Organization Active NPI

Great Minds Psychiatry and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
National Provider Identifier
1083424261
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GREAT MINDS PSYCHIATRY AND WELLNESS PLLC
Practice address
11300 Iron Bridge Rd Ste C
Chester, VA 23831-1428
Phone
(804) 295-4344
Fax
(804) 509-0520
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mary Daniels, PMHNPNPI 1548087760
Title
Nurse Practitioner
Phone
(502) 956-4213

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11300 Iron Bridge Rd Ste C
Chester, VA 23831-1428

Mailing address

8942 Quioccasin Rd
Henrico, VA 23229-5534
Phone (804) 295-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250212003434 VA Part B Supplier - Clinic/Group Practice 8426588971 Receives reassigned benefits from 1 practitioner
Practice locations: Henrico, VA
O20260420003153 WA Part B Supplier - Clinic/Group Practice 8426588971 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

11300 Iron Bridge Rd
Ste C
Chester, VA 23831
Phone (757) 575-3606

8942 Quioccasin Rd
Henrico, VA 23229

8942 Quioccasin Rd
Ste 4213
Henrico, VA 23229
Phone (804) 292-4344

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1083424261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8942 QUIOCCASIN RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232295534",
            "telephone_number": "804-295-4344",
            "fax_number": "804-509-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 IRON BRIDGE RD STE C",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311428",
            "telephone_number": "804-295-4344",
            "fax_number": "804-509-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MINDS PSYCHIATRY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "502-956-4213",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.