Organization Active NPI

Mind Life Wellbeing Inc

  • Clinical Social Worker
  • Nampa, ID
National Provider Identifier
1518838754
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND LIFE WELLBEING INC
Practice address
924 16TH Ave S
Nampa, ID 83651-4732
Phone
(208) 906-0686
Fax
(208) 214-0051
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mary L Wurtz, LCSW
Title
Owner
Phone
(208) 906-0686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

924 16TH Ave S
Nampa, ID 83651-4732

Mailing address

924 16TH Ave S
Nampa, ID 83651-4732
Phone (208) 906-0686

National Provider Directory

National Provider Directory

Locations

924 16th Ave S
Nampa, ID 83651
Phone (208) 906-0686

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1518838754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 16TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514732",
            "telephone_number": "208-906-0686",
            "fax_number": "208-214-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 16TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514732",
            "telephone_number": "208-906-0686",
            "fax_number": "208-214-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND LIFE WELLBEING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WURTZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-906-0686",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

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

Verify at the official NPI Registry.