Organization Active NPI

Nicki's Staafly Mindset Moments

  • Community/Behavioral Health Agency
  • Corona, CA
National Provider Identifier
1508790536
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NICKI'S STAAFLY MINDSET MOMENTS
Practice address
1800 Baywood Dr Apt 204
Corona, CA 92881-3333
Phone
(702) 712-3591
NPI assigned
Jun 12, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Ms. Nichelle Shenita Coleman, BEHAVIORAL HEALTH PRNPI 1801633391
Title
Founder
Phone
(702) 712-3591

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1800 Baywood Dr Apt 204
Corona, CA 92881-3333

Mailing address

1800 Baywood Dr Apt 204
Corona, CA 92881-3333
Phone (702) 712-3591

National Provider Directory

National Provider Directory

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": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1508790536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BAYWOOD DR APT 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813333",
            "telephone_number": "702-712-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BAYWOOD DR APT 204",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813333",
            "telephone_number": "702-712-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKI'S STAAFLY MINDSET MOMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "SHENITA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "702-712-3591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BEHAVIORAL HEALTH PR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.