Magnolia Mental Health and Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAGNOLIA MENTAL HEALTH AND WELLNESS LLC

Practice address

420 S Lowe Ave Ste 20
Cookeville, TN 38501-4718

Phone

(931) 239-4039

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Vickie Brown, PMHNPNPI 1295232916

Title

Owner

Phone

(931) 239-4039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vickie Dian Brown, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
  • NPI 1295232916
  Medicare reassignment Care Compare group NPD Authorized official
• Sadie Blythe, APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
  • NPI 1295566784
  Medicare reassignment Care Compare group NPD
• Sara Jean Mullins, LPC/MHSP

  • Professional Counselor
  • Cookeville, TN
  • NPI 1689189847
  Medicare reassignment Care Compare group NPD
• Holly L Robertson Rose, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
  • NPI 1952482549
  Medicare reassignment Care Compare group NPD
• Abieyuwa Sarah Salami, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
  • NPI 1053136721
  NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1699557116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 TOMMY DODSON HWY",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385069023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S LOWE AVE STE 20",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014718",
            "telephone_number": "931-239-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MENTAL HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-239-4039",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Mackerwicz
• Rachel Macmillan, OTR/L
• Spencer J. Madell, MD
• Kendra Paige Madewell, FNP-C
• Taylor Maggart, OTD, OTR/L
• Mallory Mahan
• Mollie Avanah Mahan, RD LDN
• Victoria Ann Maiden, DO
• Nathaniel Lee Mainord, D.C.
• Amber Wright Majka

• Psychiatric/Mental Health Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.