Mind Spa Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MIND SPA INC

Doing business as

Mind Spa

Practice address

5340 S Quebec St # 230S
Greenwood Village, CO 80111-1909

Phone

(509) 385-4800

NPI assigned

Jul 29, 2021

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Peterson, MBA

Title

Ceo

Phone

(509) 385-4800

Specialties & licenses 1

Addresses

Other names 1

• Mind Spa Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Anderson

  • Professional Counselor
  • Westminster, CO
  • NPI 1689435000
  Medicare reassignment Care Compare group NPD
• John Frank Drozd, PHD

  • Clinical Psychologist
  • Peterson AFB, CO
  • NPI 1306916267
  Medicare reassignment Care Compare group NPD
• Kylie Hansen, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
  • NPI 1356168686
  Medicare reassignment Care Compare group NPD
• Joseph A'Kos Horvath, DO

  • Psychiatry Physician
  • Denver, CO
  • NPI 1568858629
  Medicare reassignment Care Compare group NPD
• Marlen Lukatsky, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1932706066

  CO

  Medicare reassignment Care Compare group NPD
• Daniel Abrams, MD

  • Psychiatry Physician
  • Aurora, CO
  • NPI 1780732214
  Medicare reassignment NPD
• Eric Daniel French, D.O.

  • Psychiatry Physician
  • Aurora, CO
  • NPI 1184007098
  Medicare reassignment NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1295408789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST # 230S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "509-385-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST # 230S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "509-385-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-385-4800",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mind Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue A. Miller, NP-C
• Wendy Miller, PA
• Rebecca Millett, RN
• Jennifer Joyce Mills, PA-C
• Lindsay Stewart Milner, RN
• Mindful Therapy Group of Colorado, P.C. (Mindful Therapy Group)
• Mindful Therapy Group of Colorado, PC
• Mindyourpain
• Jayne Minetree, NP
• Ronald Joseph Minter, MD

• Adult Mental Health Clinic/Center in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.