NPIMap

Organization Active NPI

Great Mind Counseling and Wellness Center LLC

Doing business as Great Mind Counseling and Wellness Center

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1295211126
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8520 Issued in NV
Legal business name
GREAT MIND COUNSELING AND WELLNESS CENTER LLC
Doing business as
Great Mind Counseling and Wellness Center
Practice address
1600 E Desert Inn Rd Ste 104
Las Vegas, NV 89169-2505
Phone
(702) 208-2194
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Maimouna Rose CantrallNPI 1174996201
Title
Director
Phone
(702) 208-2194

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 8520 NV Primary

Addresses

Primary practice location

1600 E Desert Inn Rd Ste 104
Las Vegas, NV 89169-2505

Mailing address

1600 E Desert Inn Rd Ste 104
Las Vegas, NV 89169-2505
Phone (702) 208-2194

Other names 1

  • Great Mind Counseling and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129002329 NV Part B Supplier - Clinic/Group Practice 9830459502 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1295211126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-208-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-208-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MIND COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "CANTRALL",
        "authorized_official_first_name": "MAIMOUNA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-208-2194"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "8520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Mind Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Mind Counseling and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.