Organization Active NPI

Mindful Authority

  • Psychiatric/Mental Health Registered Nurse
  • Columbia, SC
National Provider Identifier
1740106020
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
MINDFUL AUTHORITY
Practice address
1900 Main Street 18TH Floor
#2054
Columbia, SC 29180
Phone
(839) 207-0558
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Jalissa Chree Kelly, APRN
Title
Pmhnp-BC
Phone
(839) 207-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

1900 Main Street 18TH Floor
#2054
Columbia, SC 29180

Mailing address

1900 Main Street 18TH Floor
#2054
Columbia, SC 29180
Phone (839) 207-0558

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1740106020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MAIN STREET 18TH FLOOR",
            "address_2": "#2054",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "839-207-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN STREET 18TH FLOOR",
            "address_2": "#2054",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "839-207-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JALISSA",
        "authorized_official_middle_name": "CHREE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "839-207-0558",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.