Organization Active NPI

Copious Mind Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Des Plaines, IL
National Provider Identifier
1093668592
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Aminat Adebare, NURSE PRACTITIONERNPI 1184582488
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20260304003549 IL Part B Supplier - Clinic/Group Practice 8123500527 Receives reassigned benefits from 1 practitioner
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.