Mind Path Mental Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MIND PATH MENTAL HEALTH PLLC

Practice address

4200 James Ray Dr
Grand Forks, ND 58202-6090

Phone

(701) 213-4096

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Terra Edwards, MSN, APRN, PMHNP-BCNPI 1669158564

Title

Owner, Pmhnp

Phone

(701) 213-4096

Specialties & licenses 1

Addresses

Other names 1

• Mind Path Mental Health, PLLC Other 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.

• Terra Nicole Edwards, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Grand Forks, MN
  • NPI 1669158564
  NPD Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1740018225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 JAMES RAY DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582026090",
            "telephone_number": "701-213-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JAMES RAY DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582026090",
            "telephone_number": "701-213-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND PATH MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "OWNER, PMHNP",
        "authorized_official_telephone_number": "701-213-4096",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "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": [
        {
            "organization_name": "Mind Path Mental Health, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Miller
• Susan R Miller
• Tayaih Miller, PHARMD
• Keith W Millette, MD
• Jennifer Kaye Mills, PMHNP
• Cassidy A Mindeman, PA
• Minnesota Optometric Eye Doctor, P.a.
• Miracle Hands Care
• Jessica L Miskavige, DDS
• Lindsey G Miskavige, CF-SLP

• Psychiatric/Mental Health Nurse Practitioner in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.