Mindful Mood Psychiatry, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MINDFUL MOOD PSYCHIATRY, PLLC

Practice address

534 Trejo Street
Suite 100
Rexburg, ID 83440

Phone

(208) 206-7066

NPI assigned

Mar 26, 2025

Organization subpart

No

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

Authorized official

Name

Michelle Andrus, PMHNPNPI 1114654340

Title

Pmhnp

Phone

(208) 557-9572

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle Andrus, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Sam Houston, TX
  • NPI 1114654340
  NPD Authorized official

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1811799398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 1ST ST # 1031",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TREJO STREET",
            "address_2": "SUITE 100",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-206-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MOOD PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "208-557-9572",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jud E Miller, MD
• Lori Annette Foster Miller, MCOUN., LPC, NCC
• Natalie Millett, LPC, NCC
• Brittaini Milner, LCSW
• Jay Milner
• Misty Mountains Therapy, LLC
• William J Mitchell
• Julie Raye Moody, PMHNP
• Cameron Moore
• Dalynn N Moore, MC, LPC

• Adult Mental Health Clinic/Center in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Adult Mental Health Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.