Stillmind LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STILLMIND LLC

Practice address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Phone

(971) 350-6955

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Laura Peterson, PMHNPNPI 1114630043

Title

Owner

Phone

(971) 350-6955

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• STILLMIND LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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

• Laura Peterson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
  • NPI 1114630043

  OR

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1831089226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 CAPELLA CREEK WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774063457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE R",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822",
            "telephone_number": "971-350-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLMIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-350-6955",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R275052",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STILLMIND LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gordon Gray Still, M.D.
• Hayley Nicole Still
• Tracy Yvonne Still, DC
• Lisa Stiller
• Robin Stiller, M.D.
• Gregory Howard Stilson, D.C.
• James Stilwell
• Kamela Stilwell, M.D.
• Kyle Stilwell
• Kenneth Marne Stinchfield, DDS

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.