Organization Active NPI

Open Minds Mental Health LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Goodlettsville, TN
National Provider Identifier
1942053657
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
OPEN MINDS MENTAL HEALTH LLC
Practice address
204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone
(615) 212-8887
Fax
(615) 468-9375
NPI assigned
Apr 10, 2024
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Shelley Chamberlain, NPNPI 1497015861
Title
Authorized Official/Owner
Phone
(615) 212-8887

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 Clinical Nurse Specialist 364SP0808X NU Primary

Addresses

Primary practice location

204 Bluebird Dr
Goodlettsville, TN 37072-2302

Mailing address

204 Bluebird Dr
Goodlettsville, TN 37072-2302
Phone (615) 212-8887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250114003709 TN Part B Supplier - Clinic/Group Practice 5991233272 Receives reassigned benefits from 7 practitioners
Practice locations: Goodlettsville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2338494Open Minds Mental Health Services204 Bluebird Drive, Goodlettsville, TN 37072Certificate of waiverFeb 10, 2028

National Provider Directory

National Provider Directory

Locations

204 Bluebird Dr
Goodlettsville, TN 37072
Phone (615) 212-8887

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1942053657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-212-8887",
            "fax_number": "615-468-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722302",
            "telephone_number": "615-212-8887",
            "fax_number": "615-468-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN MINDS MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "615-212-8887",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.