Green Minds Matter LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GREEN MINDS MATTER LLC

Practice address

5805 McNutt Rd
Santa Teresa, NM 88008-8001

Phone

(469) 569-8665

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Irene Okoronkwo, DNP

Title

Founder

Phone

(469) 569-8665

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1194325308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CATTLE LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799342835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880088001",
            "telephone_number": "469-569-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MINDS MATTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "OKORONKWO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "469-569-8665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariaelena Gonzalez, FNP-C
• Romina Gonzalez
• Saharay Gonzalez, PHLEBOTOMIST
• Kane Andrew Grant
• Carlos Armando Graziani, PHARM D
• Vianca Guadarrama
• Maria Dolores Guerra
• Jacob Delane Guiendon
• Miguel Gutierrez
• Paola Guzman

• Psychiatric/Mental Health Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.