The Mind Body Soul Collective LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE MIND BODY SOUL COLLECTIVE LLC

Practice address

3201 Pioneers Blvd Ste 306
Lincoln, NE 68502-5963

Phone

(402) 217-2125

NPI assigned

Mar 19, 2025

Organization subpart

No

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

Authorized official

Name

Katherine Frickel

Title

Co-Owner/Practice Manager

Phone

(402) 217-2125

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Maya Terra Chilese, LMHP

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1720940224
  NPD (past)
• Paula Michelle Dawson, APRN

  • Primary Care Nurse Practitioner
  • La Vista, NE
  • NPI 1881310449
  NPD (past)
• Kendra Johnson, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1083274468
  NPD (past)
• Nichole Smith, APRN WHNP

  • Women's Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1598506040
  NPD (past)
• S Elise Bratcher Cushman, RD

  • Registered Dietitian
  • Thetford, VT
  • NPI 1184477044
  NPD (past)

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1952102717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 S 32ND ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164677",
            "telephone_number": "402-217-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD STE 306",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-217-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MIND BODY SOUL COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "FRICKEL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CO-OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "402-217-2125"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.