Mastermind Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MASTERMIND CLINIC PLLC

Practice address

5225 N Academy Blvd # 305
Colorado Springs, CO 80918-4000

Phone

(719) 644-6463

Fax

(844) 579-0123

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Jennie Stormes, MSN APN RXNNPI 1053955500

Title

Pmhnp-BC

Phone

(719) 644-6463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennie Stormes, MSN APN RXN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1053955500
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Menden, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1437880739
  Medicare reassignment Care Compare group NPD
• Emilie Perdue, DNP APRN RXN PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
  • NPI 1427872092

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Chacee Marie Sanchez

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
  • NPI 1740157734
  NPD
• Amber Williams, RN

  • Registered Nurse
  • Colorado Springs, CO
  • NPI 1912874900
  NPD

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1285247486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD # 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184000",
            "telephone_number": "719-644-6463",
            "fax_number": "844-579-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N ACADEMY BLVD # 305",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184000",
            "telephone_number": "719-644-6463",
            "fax_number": "844-579-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Fontanero St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809077526",
            "country_code": "US",
            "telephone_number": "719-479-9555",
            "fax_number": "844-579-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASTERMIND CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "STORMES",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "719-644-6463",
        "authorized_official_credential": "MSN APN RXN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Massingill, RPH
• Aleea Massmann
• Lauren Faith Massot, DPT
• Master Kim'S Acupuncture Clinic
• Jessica Master
• Joseph Masterpool, RBT
• Daysi Masters
• Brenda Mastin, FNP
• Jessie Bryan Mastin, DDS
• Laura Jane Mastrolia, COUNSELOR

• Psychiatric/Mental Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

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