Active NPI
The Practice a Mental Wellness Group
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1376353789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THE PRACTICE A MENTAL WELLNESS GROUP
- Practice address
- 9172 S Houghton Rd Ste 130
Tucson, AZ 85747-9748 - Phone
- (520) 526-3104
- Fax
- (520) 771-8674
- NPI assigned
- Jan 8, 2025
- 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
- Jennifer Mitchell, PMHNP-BC
- Title
- Co-Owner
- Phone
- (520) 753-0580
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
9172 S Houghton Rd Ste 130
Tucson, AZ 85747-9748
Mailing address
9172 S Houghton Rd Ste 130
Tucson, AZ 85747-9748
Phone (520) 526-3104
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417720798 | Other | AZ | NPI |
| 1720688369 | Other | AZ | NPI |
| 1841939063 | Other | AZ | NPI |
Other names 1
- The Practice A Mental Wellness Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1841939063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1376353789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9172 S HOUGHTON RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857479748",
"telephone_number": "520-526-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9172 S HOUGHTON RD STE 130",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857479748",
"telephone_number": "520-526-3104",
"fax_number": "520-771-8674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PRACTICE A MENTAL WELLNESS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "520-753-0580",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1417720798",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720688369",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1841939063",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Practice A Mental Wellness Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Practice A Mental Wellness Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.