Organization Active NPI

Dynamic Minds Institute, LLC

Doing business as Dynamic Minds

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
National Provider Identifier
1417678129
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DYNAMIC MINDS INSTITUTE, LLC
Doing business as
Dynamic Minds
Practice address
1870 Dublin Blvd Ste F
Colorado Springs, CO 80918-1264
Phone
(720) 504-7245
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Kirsten Nelson, APRNNPI 1720442700
Title
Owner
Phone
(720) 504-7245

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1870 Dublin Blvd Ste F
Colorado Springs, CO 80918-1264

Mailing address

1870 Dublin Blvd Ste F
Colorado Springs, CO 80918-1264
Phone (720) 504-7245

Other names 1

  • Dynamic Minds Doing business as

National Provider Directory

National Provider Directory

Locations

1870 Dublin Blvd
Ste F
Colorado Springs, CO 80918
Phone (720) 504-7245

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1417678129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 DUBLIN BLVD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181264",
            "telephone_number": "720-504-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 DUBLIN BLVD STE F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181264",
            "telephone_number": "720-504-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC MINDS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-504-7245",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.