Organization Active NPI

Enlightened Minds Mental Health PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mankato, MN
National Provider Identifier
1952295354
Registry record updated Jun 9, 2025
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
ENLIGHTENED MINDS MENTAL HEALTH PLLC
Practice address
1961 Premier Dr Ste 235
Mankato, MN 56001-6492
Phone
(507) 514-8111
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Erika Teachout, LPCCNPI 1366160012
Title
Owner
Phone
(507) 514-8111

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

Addresses

Primary practice location

1961 Premier Dr Ste 235
Mankato, MN 56001-6492

Mailing address

124 Pebble Creek Dr
Mankato, MN 56001-6458
Phone (507) 514-8111

Other practice location 1

124 Pebble Creek Dr
Mankato, MN 56001-6458
Phone (507) 514-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915004140 MN Part B Supplier - Clinic/Group Practice 8325542244 Receives reassigned benefits from 1 practitioner
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory

Locations

1961 Premier Dr
Ste 235
Mankato, MN 56001
Phone (507) 514-8111

Practitioners & affiliated clinicians

Practitioners 1

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1952295354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 PEBBLE CREEK DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016458",
            "telephone_number": "507-514-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 PREMIER DR STE 235",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016492",
            "telephone_number": "507-514-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Pebble Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016458",
            "country_code": "US",
            "telephone_number": "507-514-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLIGHTENED MINDS MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "TEACHOUT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-514-8111",
        "authorized_official_credential": "LPCC"
    },
    "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 Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.