Elevated Mind and Wellness Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ELEVATED MIND AND WELLNESS GROUP

Practice address

219 Patchen Dr Apt 1504
Lexington, KY 40517-4438

Phone

(859) 303-8801

Fax

(859) 972-0383

NPI assigned

Jul 10, 2025

Organization subpart

No

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

Authorized official

Name

Toccara C Coleman

Title

Owner

Phone

(859) 321-9676

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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.

• Larissa Flint, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1053034876
  Medicare reassignment
• Jessica Elizabeth Duval, LCSW, LCADC

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1295236537
  NPD

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1487545190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 PATCHEN DR APT 1504",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174438",
            "telephone_number": "859-303-8801",
            "fax_number": "859-972-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 PATCHEN DR APT 1504",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174438",
            "telephone_number": "859-303-8801",
            "fax_number": "859-972-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED MIND AND WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "TOCCARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-321-9676"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100704390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel McKinley Elder
• Stephen Elder
• William Gibbs Elder Jr., PHD
• Russell M Eldridge, MD
• Elevate Chiropractic & Wellness Center
• Elevation Pathways Therapy & Consulting
• Taha Jamil Elfarra
• Mennatullah Elfwwal, MD
• Islam Youssef Ahmed Elgendy, M.D.
• Mariam Elgomos

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.