Active NPI
Beautiful Minds PC
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
National Provider Identifier
1336809847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BEAUTIFUL MINDS PC
- Practice address
- 1178 Charnelton St
Eugene, OR 97401-3431 - Phone
- (541) 777-8805
- Fax
- (541) 314-9597
- NPI assigned
- Dec 23, 2021
- Last updated
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becca D Henry, PMHNP
- Title
- Business Owner
- Phone
- (410) 382-2509
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1178 Charnelton St
Eugene, OR 97401-3431
Mailing address
1178 Charnelton St
Eugene, OR 97401-3431
Phone (541) 777-8805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244070 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1178 Charnelton St
Eugene, OR 97401
Phone (541) 321-8631
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
- NPI 1245430198
-
- Clinical Social Worker
- Eugene, OR
- NPI 1730545211
-
- Clinical Social Worker
- Eugene, OR
- NPI 1689809253
-
- Professional Counselor
- Eugene, OR
- NPI 1790317147
-
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
- NPI 1326458753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1336809847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1178 CHARNELTON ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013431",
"telephone_number": "541-777-8805",
"fax_number": "541-314-9597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 CHARNELTON ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013431",
"telephone_number": "541-777-8805",
"fax_number": "541-314-9597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL MINDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-23",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "BECCA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "410-382-2509",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244070",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.