Organization Active NPI

Mind Works Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lucedale, MS
National Provider Identifier
1265104780
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND WORKS WELLNESS, PLLC
Practice address
533 Cowart St Ste 1
Lucedale, MS 39452-5863
Phone
(601) 530-5317
Fax
(601) 429-9195
NPI assigned
Oct 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Felicia McNeil, NPNPI 1407239262
Title
Owner
Phone
(601) 530-5317

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

533 Cowart St Ste 1
Lucedale, MS 39452-5863

Mailing address

533 Cowart St Ste 1
Lucedale, MS 39452-5863
Phone (601) 530-5317

Other practice location 1

2012 Highway 90 Ste 12
Gautier, MS 39553-5305
Phone (601) 530-5317

Other identifiers 1

IdentifierTypeStateIssuer
007750897MedicaidMS

Other names 1

  • MindCare Matters Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@mindworkswellness.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223000348 MS Part B Supplier - Clinic/Group Practice 6305237504 Receives reassigned benefits from 6 practitioners
Practice locations: Lucedale, MS; Gautier, MS

National Provider Directory

National Provider Directory

Locations

2012 Highway 90
Ste 12
Gautier, MS 39553
Phone (601) 530-5317

124 Summer St
Ste D
Lucedale, MS 39452
Phone (228) 806-7010

Practitioners & affiliated clinicians

Practitioners 7

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": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1265104780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 COWART ST STE 1",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525863",
            "telephone_number": "601-530-5317",
            "fax_number": "601-429-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 COWART ST STE 1",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525863",
            "telephone_number": "601-530-5317",
            "fax_number": "601-429-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 Highway 90 Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gautier",
            "state": "MS",
            "postal_code": "395535305",
            "country_code": "US",
            "telephone_number": "601-530-5317",
            "fax_number": "601-429-9195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND WORKS WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-530-5317",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007750897",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@mindworkswellness.org",
            "affiliation": "N",
            "endpointDescription": "business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "124 Summer St Ste D",
            "city": "Lucedale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394525918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MindCare Matters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lucedale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.