Active NPI
Mind-Body Therapeutics
- Community/Behavioral Health Agency
- Moriarty, NM
National Provider Identifier
1629934823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MIND-BODY THERAPEUTICS
- Practice address
- 86B Martin LN
Moriarty, NM 87035-5605 - Phone
- (505) 895-3483
- Fax
- (715) 504-8663
- NPI assigned
- Dec 31, 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
- Julie Ann Wilson, LPCC
- Title
- Owner
- Phone
- (505) 895-3484
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
86B Martin LN
Moriarty, NM 87035-5605
Mailing address
86B Martin LN
Moriarty, NM 87035-5605
Phone (505) 895-3483
Other practice location 1
2601 Wyoming Blvd NE Ste 208
Albuquerque, NM 87112-1033
Phone (505) 895-3484
Other names 2
- Mind-Body Therapeutics
- Mind-Body Solutions
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@mind-bodytherapeutics.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260612002954 | NM | Part B Supplier - Clinic/Group Practice | 0547732307 |
Receives reassigned benefits from 1 practitioner Practice locations: Moriarty, NM |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1629934823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86B MARTIN LN",
"city": "MORIARTY",
"state": "NM",
"postal_code": "870355605",
"telephone_number": "505-895-3483",
"fax_number": "505-496-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86B MARTIN LN",
"city": "MORIARTY",
"state": "NM",
"postal_code": "870355605",
"telephone_number": "505-895-3483",
"fax_number": "715-504-8663"
}
],
"practiceLocations": [
{
"address_1": "2601 Wyoming Blvd NE Ste 208",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871121033",
"country_code": "US",
"telephone_number": "505-895-3484",
"fax_number": "715-504-8663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MIND-BODY THERAPEUTICS",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-31",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-895-3484",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@mind-bodytherapeutics.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "86B Martin Ln",
"city": "Moriarty",
"state": "NM",
"country_code": "US",
"postal_code": "870355605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Mind-Body Therapeutics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mind-Body Solutions",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moriarty, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.