Organization Active NPI

Cerebrum Mindsight Behavioral Mental Health Clinic LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marion, IN
National Provider Identifier
1902773005
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CEREBRUM MINDSIGHT BEHAVIORAL MENTAL HEALTH CLINIC LLC
Practice address
1001 N Western Ave Ste F&G
Marion, IN 46952-2500
Phone
(765) 573-5218
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Shannon ThompkinsNPI 1295267003
Title
Owner
Phone
(765) 573-5218

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1001 N Western Ave Ste F&G
Marion, IN 46952-2500

Mailing address

1301 S Baldwin Ave Ste 301
Marion, IN 46953-1515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260618004282 IN Part B Supplier - Clinic/Group Practice 9133691272 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, IN

National Provider Directory

National Provider Directory

Locations

1301 S Baldwin Ave
Ste 301
Marion, IN 46953

1001 N Western Ave
Ste Fg
Marion, IN 46952
Phone (765) 573-5218

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1902773005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S BALDWIN AVE STE 301",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469531515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WESTERN AVE STE F&G",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522500",
            "telephone_number": "765-573-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRUM MINDSIGHT BEHAVIORAL MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-573-5218"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.