Mears Psychological LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MEARS PSYCHOLOGICAL LLC

Practice address

10567 165TH St W
Lakeville, MN 55044-3523

Phone

(952) 767-9374

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Joshua Timothy Mears, LPNPI 1790062438

Title

Owner

Phone

(952) 767-9376

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Soul's Apothecary Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 18

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

• Joshua Timothy Mears, LP

  • Psychologist
  • Lakeville, MN
  • NPI 1790062438
  Medicare reassignment Care Compare group NPD Authorized official
• Katelyn M Bolte

  • Professional Counselor
  • Mankato, MN
  • NPI 1700340171
  Medicare reassignment Care Compare group NPD
• Brenda J Haugen

  • Professional Counselor
  • Mankato, MN
  • NPI 1962038505
  Medicare reassignment Care Compare group NPD
• Taylor Heath, LPCC; MS

  • Professional Counselor
  • Lakeville, MN
  • NPI 1548779192
  Medicare reassignment Care Compare group NPD
• Taylor Marie Montbriand, MS, LPCC

  • Professional Counselor
  • Mankato, MN
  • NPI 1639784507
  Medicare reassignment Care Compare group NPD
• Travis T Mord

  • Clinical Psychologist
  • Lakeville, MN
  • NPI 1285249391
  Medicare reassignment Care Compare group NPD
• Katelyn R Ottum, LPC

  • Professional Counselor
  • Lakeville, MN
  • NPI 1255834123
  Medicare reassignment Care Compare group NPD
• Deneal Marie Sperle, LPC

  • Professional Counselor
  • Mankato, MN
  • NPI 1114551728
  Medicare reassignment Care Compare group NPD
• Elizabeth Anne Walters, LPC

  • Professional Counselor
  • Lakeville, MN
  • NPI 1508359563
  Medicare reassignment Care Compare group NPD
• Elaina R Adickes

  • Professional Counselor
  • Lakeville, MN
  • NPI 1295361640
  Medicare reassignment NPD
• Julieanna Bowen, OTR/L

  • Psychologist
  • Lakeville, MN
  • NPI 1275534505
  Medicare reassignment NPD
• Jamie J Cole, MA

  • Professional Counselor
  • Lakeville, MN
  • NPI 1760009021
  Medicare reassignment NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1881333946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443523",
            "telephone_number": "952-767-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 165TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550443523",
            "telephone_number": "952-767-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Central Ave N",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550215279",
            "country_code": "US",
            "telephone_number": "952-767-9374",
            "fax_number": "855-538-0663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Oakdale Ave",
            "address_purpose": "LOCATION",
            "city": "West Saint Paul",
            "state": "MN",
            "postal_code": "551182601",
            "country_code": "US",
            "telephone_number": "952-767-9374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 St Andrews Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560018660",
            "country_code": "US",
            "telephone_number": "952-767-9374 x79374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Robert St S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551182301",
            "country_code": "US",
            "telephone_number": "952-767-9374",
            "fax_number": "855-538-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEARS PSYCHOLOGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MEARS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-767-9376",
        "authorized_official_credential": "LP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790062438",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Soul's Apothecary",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Soul's Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly Rae McDonald, O.D.
• John Raymond McGinnis, M.T.
• Shteja Monee McGregor
• Jaime McNatt, LICSW
• Lisa McNeil
• Joshua Timothy Mears, LP
• Sarah Kristine Meckley
• Medexpress Urgent Care Minnesota P.C.
• Ann Catherine Meehan, LPCC
• Christine Philippe Megaly, MD

• Clinical Psychologist in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.