Active NPI
Cerebrum Mindsight Behavioral Mental Health Clinic LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Marion, IN
National Provider Identifier
1902773005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Thompkins
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- In Home Supportive Care Agency
- Marion, IN
- NPI 1295267003
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.