Organization Active NPI

Beautiful Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1194596270
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BEAUTIFUL MINDS LLC
Practice address
9013 NE Highway 99 Ste V
Vancouver, WA 98665-8943
Phone
(971) 268-0322
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Authorized official

Name
Jessica Bentura-Jimenez, PMHNPNPI 1285392126
Title
Owner
Phone
(971) 268-0322

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

9013 NE Highway 99 Ste V
Vancouver, WA 98665-8943

Mailing address

9013 NE Highway 99 Ste V
Vancouver, WA 98665-8943
Phone (971) 268-0322

Other practice location 1

19441 NE Multnomah Ct
Portland, OR 97230-7771
Phone (971) 268-0322

National Provider Directory

National Provider Directory

Locations

9013 NE Highway 99
Ste V
Vancouver, WA 98665
Phone (971) 268-0322

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": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721520000000",
    "number": "1194596270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 NE HIGHWAY 99 STE V",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658943",
            "telephone_number": "971-268-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 NE HIGHWAY 99 STE V",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658943",
            "telephone_number": "971-268-0322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19441 NE Multnomah Ct",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972307771",
            "country_code": "US",
            "telephone_number": "971-268-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUTIFUL MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "BENTURA-JIMENEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-268-0322",
        "authorized_official_credential": "PMHNP"
    },
    "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 Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.