Mind Body & Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND BODY & HEALTH, LLC

Practice address

349 Center St
Ashtabula, OH 44004-6901

Phone

(440) 812-7108

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Vanessa Reyes, CMA

Title

Practice Manager

Phone

(440) 364-4741

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Debra M Hoplight, FNP

  • Family Nurse Practitioner
  • Ashtabula, OH
  • NPI 1386969871
  Medicare reassignment NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1093472581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CENTER ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CENTER ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046901",
            "telephone_number": "440-812-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY & HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "440-364-4741",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090711",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477297",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH - VENDOR NUMBER",
            "identifier": "900170792",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NP11405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris P. Miller, MD
• Jennifer Miller, LPN
• Kathleen Miller
• Luetta L Miller
• Troy Mills, B.C.H.I.S.
• Justine Lynn Miner, LPC
• Emily Rhea Minton, PT, DPT
• Julie L Mirabell, MS, OT/L
• William S Mirando, M D
• Deborah L Mitchell

• Psychiatric/Mental Health Nurse Practitioner in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.