Mindstrive Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDSTRIVE WELLNESS LLC

Practice address

1860 SW Fountainview Blvd # 1045
Port St Lucie, FL 34986-4535

Phone

(772) 275-6409

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Jeriece LovelaceNPI 1396623880

Title

NP

Phone

(772) 275-6409

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeriece K Lovelace, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Folsom, CA
  • NPI 1396623880
  NPD Authorized official

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1093678989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD # 1045",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-275-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 SW FOUNTAINVIEW BLVD # 1045",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864535",
            "telephone_number": "772-275-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSTRIVE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "JERIECE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "772-275-6409",
        "authorized_official_name_prefix": "Ms."
    },
    "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": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.