Organization Active NPI

Mindful Path Psychiatry and Counseling

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1114887387
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL PATH PSYCHIATRY AND COUNSELING
Practice address
1120 Depot LN SE Ste 100
Cedar Rapids, IA 52401-2547
Phone
(815) 570-9701
Fax
(319) 249-6220
NPI assigned
Nov 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Anna Shudzeka Shudzeka, NP
Title
Pmhnp
Phone
(815) 570-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1120 Depot LN SE Ste 100
Cedar Rapids, IA 52401-2547

Mailing address

1120 Depot LN SE Ste 100
Cedar Rapids, IA 52401-2547
Phone (815) 570-9701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1114887387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DEPOT LN SE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012547",
            "telephone_number": "815-570-9701",
            "fax_number": "319-249-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DEPOT LN SE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012547",
            "telephone_number": "815-570-9701",
            "fax_number": "319-249-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL PATH PSYCHIATRY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SHUDZEKA",
        "authorized_official_first_name": "ANNA SHUDZEKA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "815-570-9701",
        "authorized_official_credential": "NP"
    },
    "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 Cedar Rapids, IA

Sources for this page

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