NPIMap

Organization Active NPI

Imind Mental Health and Wellness LLC

  • Clinical Social Worker
  • Jackson, TN
National Provider Identifier
1144714882
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IMIND MENTAL HEALTH AND WELLNESS LLC
Practice address
65 Murray Guard Dr
Jackson, TN 38305-3628
Phone
(731) 363-5584
NPI assigned
Jun 16, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Anna Marie Cook, CNS, PMHNPNPI 1063721314
Title
Owner
Phone
(731) 300-0810

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

65 Murray Guard Dr
Jackson, TN 38305-3628

Mailing address

168 W University Pkwy
Jackson, TN 38305-1624
Phone (731) 300-0810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180825000103 TN Part B Supplier - Clinic/Group Practice 8426307364 Receives reassigned benefits from 8 practitioners
Practice locations: Jackson, TN

National Provider Directory

National Provider Directory

Locations

168 W University Pkwy
Jackson, TN 38305
Phone (731) 300-2619

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1144714882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W UNIVERSITY PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051624",
            "telephone_number": "731-300-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MURRAY GUARD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053628",
            "telephone_number": "731-363-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIND MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-16",
        "last_updated": "2025-09-11",
        "certification_date": "2022-07-16",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-300-0810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNS, PMHNP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.