Organization Active NPI

Mindset Resolutions

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1235839614
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDSET RESOLUTIONS
Practice address
609 W Main St Ste 305
Louisville, KY 40202-2951
Phone
(502) 631-8015
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Precious SarverNPI 1972238467
Title
Owner
Phone
(502) 224-1552

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

609 W Main St Ste 305
Louisville, KY 40202-2951

Mailing address

4602 Dove Lake CT
Louisville, KY 40299-8342
Phone (502) 224-1552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230418001743 KY Part B Supplier - Clinic/Group Practice 7315312626 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2275039Mindset Resolutions, LLC609 West Main Street Suite 305, Louisville, KY 40202Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Locations

609 W Main St
Ste 305
Louisville, KY 40202
Phone (502) 631-8015

101 N 7th St
Ste 605
Louisville, KY 40202
Phone (502) 631-8015

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1235839614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DOVE LAKE CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402998342",
            "telephone_number": "502-224-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAIN ST STE 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022951",
            "telephone_number": "502-631-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSET RESOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "SARVER",
        "authorized_official_first_name": "PRECIOUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-224-1552"
    },
    "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 Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.