Organization Active NPI

Mercury Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IN
National Provider Identifier
1306546353
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MERCURY MENTAL HEALTH LLC
Practice address
205 N College Ave Ste 216
Bloomington, IN 47404-3955
Phone
(720) 254-1353
Fax
(949) 695-2240
NPI assigned
Mar 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Samuel Parmenter, PMHNPNPI 1568948313
Title
Owner
Phone
(812) 821-7130

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

205 N College Ave Ste 216
Bloomington, IN 47404-3955

Mailing address

358 S East St
Spencer, IN 47460-1814
Phone (812) 821-7130

Other names 1

  • Mercury Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

205 N College Ave
Ste 510
Bloomington, IN 47404
Phone (812) 821-7130

205 N College Ave
Ste 216
Bloomington, IN 47404
Phone (720) 254-1353

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": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1306546353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 S EAST ST",
            "city": "SPENCER",
            "state": "IN",
            "postal_code": "474601814",
            "telephone_number": "812-821-7130",
            "fax_number": "970-540-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 216",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043955",
            "telephone_number": "720-254-1353",
            "fax_number": "949-695-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2025-09-02",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "PARMENTER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-821-7130",
        "authorized_official_credential": "PMHNP"
    },
    "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": [
        {
            "organization_name": "Mercury Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.