Active NPI
Copious Mind Behavioral Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Des Plaines, IL
National Provider Identifier
1093668592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- COPIOUS MIND BEHAVIORAL HEALTH LLC
- Practice address
- 380 E Northwest Hwy
Des Plaines, IL 60016-2290 - Phone
- (224) 354-1321
- Fax
- (224) 354-1586
- NPI assigned
- Feb 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aminat Adebare, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (773) 698-9036
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
380 E Northwest Hwy
Des Plaines, IL 60016-2290
Mailing address
1755 Ash St
Des Plaines, IL 60018-2158
Phone (224) 354-1321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
380 E Northwest Hwy
Ste 315
Des Plaines, IL 60016
Phone (224) 549-2210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Des Plaines, IL
- NPI 1184582488
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771200000000",
"number": "1093668592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 ASH ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600182158",
"telephone_number": "224-354-1321",
"fax_number": "224-354-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E NORTHWEST HWY",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600162290",
"telephone_number": "224-354-1321",
"fax_number": "224-354-1586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COPIOUS MIND BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-16",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A",
"authorized_official_last_name": "ADEBARE",
"authorized_official_first_name": "AMINAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-698-9036",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"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 Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.