Organization Active NPI

A Clear Mind

Doing business as A Clear Mind, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1861342008
Registry record updated Feb 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
A CLEAR MIND
Doing business as
A Clear Mind, LLC
Practice address
2027 Columbia Dr
Pueblo, CO 81005-3279
Phone
(719) 766-5363
NPI assigned
Jan 28, 2026
Last updated
Feb 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2026

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

Authorized official

Name
Shawn KouryNPI 1306263181
Title
Owner
Phone
(719) 766-5363

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2027 Columbia Dr
Pueblo, CO 81005-3279

Mailing address

2027 Columbia Dr
Pueblo, CO 81005-3279
Phone (719) 766-5363

Other names 1

  • A Clear Mind, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219003307 CO Part B Supplier - Clinic/Group Practice 7214418029 Receives reassigned benefits from 1 practitioner
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

2027 Columbia Dr
Pueblo, CO 81005
Phone (719) 566-1703

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1861342008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279",
            "telephone_number": "719-766-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 COLUMBIA DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053279",
            "telephone_number": "719-766-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CLEAR MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-766-5363"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Clear Mind, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.