Organization Active NPI

Mind Body Collaborative, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jackson, MI
National Provider Identifier
1952228447
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND BODY COLLABORATIVE, LLC
Practice address
850 Laurence Ave Ste 2
Jackson, MI 49202-2986
Phone
(517) 930-5479
NPI assigned
Jul 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

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

Authorized official

Name
Raelynn Evers, LMSW
Title
Owner/Clinical Therapist
Phone
(517) 930-5479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

850 Laurence Ave Ste 2
Jackson, MI 49202-2986

Mailing address

347 Pershing Ave
Jackson, MI 49203-1075
Phone (517) 930-5479

Other practice location 1

328 E Main St
Spring Arbor, MI 49283-9617
Phone (517) 930-5479

National Provider Directory

National Provider Directory

Locations

850 Laurence Ave
Ste 2
Jackson, MI 49202
Phone (517) 581-2785

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": "1783123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783123200000",
    "number": "1952228447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PERSHING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492031075",
            "telephone_number": "517-930-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LAURENCE AVE STE 2",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022986",
            "telephone_number": "517-930-5479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 E Main St",
            "address_purpose": "LOCATION",
            "city": "Spring Arbor",
            "state": "MI",
            "postal_code": "492839617",
            "country_code": "US",
            "telephone_number": "517-930-5479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A",
        "authorized_official_last_name": "EVERS",
        "authorized_official_first_name": "RAELYNN",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "517-930-5479",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; 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.