A Clear Mind
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Pueblo, CO
NPI 1861342008 · NPPES record last updated Feb 14, 2026
Key facts
- NPI
- 1861342008
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- A CLEAR MIND
- Practice address
- 2027 Columbia Dr
Pueblo, CO 81005-3279 - Phone
- (719) 766-5363
- NPI assigned
- Jan 28, 2026
- Organization subpart
- No
Authorized official
- Name
- Shawn Koury
- Title
- Owner
- Phone
- (719) 766-5363
Practitioners 4
-
Shawn A. Koury, NP-C
-
Wayne Leslie Carter, D.C.
-
Zsuzsa Glasscock, FNP
-
Joseph G Spinuzzi, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260219003307 | CO | Part B Supplier - Clinic/Group Practice | 7214418029 |
Receives reassigned benefits from 1 practitioner Practice locations: Pueblo, CO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
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
- A Clear Mind, LLC
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All providers in Pueblo, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.