NPIMap

Organization Active NPI

Mind Body Co-Op

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1750668091
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MIND BODY CO-OP
Practice address
30 N Michigan Ave Ste 424
Chicago, IL 60602-3844
Phone
(872) 274-4344
Fax
(866) 671-9991
NPI assigned
Nov 15, 2011
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Kellie Rice, PSY.D., CGPNPI 1891002242
Title
Founder Owner
Phone
(872) 274-4344

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 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X IL
Clinical Neuropsychologist 103G00000X NU
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Group Psychotherapy Psychologist 103TP2701X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Health Psychologist 103TH0004X NU
Addiction Medicine (Preventive Medicine) Physician 2083A0300X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU

Addresses

Primary practice location

30 N Michigan Ave Ste 424
Chicago, IL 60602-3844

Mailing address

3209 N Lakewood Ave
Chicago, IL 60657-3215
Phone (872) 274-4344

Other practice location 1

1901 W Carroll Ave Unit 205
Chicago, IL 60612-2401
Phone (312) 279-9981 ext. 2

Other practice location 2

3209 N Lakewood Ave
Chicago, IL 60657-3215
Phone (872) 274-4344

Other identifiers 2

IdentifierTypeStateIssuer
1750668091MedicaidIL
1750668091OtherILMEDICARE

Other names 1

  • Kellie Rinehart Rice LCPC, Ltd Former legal business name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address MindBodyCoop.KellieRice@147350.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address MindBodyCoop.keithcarter@147350.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address MindBodyCoop.tarenhays@147350.advancedmd-direct.com
CONNECT URL MindBodyCoop.emilyberwald@147350.advancedmd-direct.com Health Information Exchange (HIE)
CONNECT URL MindBodyCoop.kellierice@147350.advancedmd-direct.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Mind Body Co-Op2 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.

Locations

1901 W Carroll Ave
Unit 205
Chicago, IL 60612
Phone 3122799981 ext. 2

Interoperability endpoints

  • Direct secure messaging: mindbodycoop.keithcarter@147350.advancedmd-direct.com
  • Direct secure messaging: mindbodycoop.kellierice@147350.advancedmd-direct.com
  • Direct secure messaging: mindbodycoop.tarenhays@147350.advancedmd-direct.com

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1750668091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 N LAKEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573215",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 424",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023844",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W Carroll Ave Unit 205",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606122401",
            "country_code": "US",
            "telephone_number": "312-279-9981 x2",
            "fax_number": "800-332-4281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3209 N Lakewood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573215",
            "country_code": "US",
            "telephone_number": "872-274-4344",
            "fax_number": "866-671-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY CO-OP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "FOUNDER OWNER",
        "authorized_official_telephone_number": "872-274-4344",
        "authorized_official_credential": "PSY.D.,  CGP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750668091",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1750668091",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MindBodyCoop.KellieRice@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "AMD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1901 W Carroll Ave Unit 205",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606122401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MindBodyCoop.keithcarter@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Keith",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MindBodyCoop.tarenhays@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "tk",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MindBodyCoop.emilyberwald@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "emily",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3209 N Lakewood Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606573215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MindBodyCoop.kellierice@147350.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "kellie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30 N Michigan Ave Ste 424",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kellie Rinehart Rice LCPC, Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kellie Rinehart Rice LCPC, Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.