NPIMap

Organization Active NPI

Nurture Mental Health & Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, WY
National Provider Identifier
1912511981
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NURTURE MENTAL HEALTH & WELLNESS CENTER LLC
Practice address
125 S King St Ste 2a
Jackson, WY 83001-8124
Phone
(910) 502-3787
NPI assigned
Sep 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Danielle Lungelow, APRN PMHNP-BCNPI 1669918942
Title
Pmhnp
Phone
(910) 502-3787

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

125 S King St Ste 2a
Jackson, WY 83001-8124

Mailing address

PO Box 1045
Jackson, WY 83001-1045
Phone (919) 897-7821

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1599436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1912511981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011045",
            "telephone_number": "919-897-7821",
            "fax_number": "919-551-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S KING ST STE 2A",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018124",
            "telephone_number": "910-502-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE MENTAL HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-07",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "LUNGELOW",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "910-502-3787",
        "authorized_official_credential": "APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.