Organization Active NPI

Sober Mind LLC

  • Addiction (Substance Use Disorder) Counselor
  • Scottsbluff, NE
National Provider Identifier
1114606712
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
SOBER MIND LLC
Practice address
1502 2ND Ave Ste 3
Scottsbluff, NE 69361-3278
Phone
(308) 633-4314
Fax
(308) 633-9505
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Mrs. Karri Elizabeth Garcia, PLADCNPI 1013597020
Title
Owner
Phone
(308) 629-7701

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1502 2ND Ave Ste 3
Scottsbluff, NE 69361-3278

Mailing address

1502 2ND Ave Ste 3
Scottsbluff, NE 69361-3278
Phone (308) 629-7701

National Provider Directory

National Provider Directory

Locations

1502 2nd Ave
Ste 3
Scottsbluff, NE 69361
Phone (308) 633-4314

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": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1114606712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 2ND AVE STE 3",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613278",
            "telephone_number": "308-629-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 2ND AVE STE 3",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613278",
            "telephone_number": "308-633-4314",
            "fax_number": "308-633-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KARRI",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-629-7701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.