Maverick Mind PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAVERICK MIND PLLC

Practice address

1401 N Elizabeth St Ste B2
Pueblo, CO 81003-2158

Phone

(719) 988-3843

NPI assigned

Jan 2, 2023

Last updated

Feb 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joelle Josephina BaileyNPI 1528580487

Title

Owner

Phone

(719) 988-3843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Maverick Mind PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maverick Mind PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1265361026
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Maverick Mind PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1265361026
  NPPES parent name

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.

• Joelle Josephina Bailey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
  • NPI 1528580487
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770422400000",
    "number": "1699488924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 VOYAGER PKWY STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809217677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N ELIZABETH ST STE B2",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032158",
            "telephone_number": "719-988-3843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12567 W Cedar Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282041",
            "country_code": "US",
            "telephone_number": "719-988-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAVERICK MIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "JOSEPHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-988-3843"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Poe Mattorano, MS. CCC-SLP
• Jacqualine Rosanna Maurello, LPCC
• Mark Edward Maurer
• Robert Brooks Maurio
• Jerica Mauro
• Kendra Maxfield
• Maxim Healthcare Services Inc.
• Maxim Healthcare Services, Inc.
• Laurel Mayfield, LPC
• Natasha Mayo-Holsey

• Psychiatric/Mental Health Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.