Organization Active NPI

Enlighten Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Somerset, KY
National Provider Identifier
1962278507
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ENLIGHTEN MENTAL WELLNESS LLC
Practice address
600 Monticello St Ste 1
Somerset, KY 42501-2974
Phone
(606) 400-2227
Fax
(606) 332-0576
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Mrs. Misty Goldson, APRNNPI 1528069531
Title
Pmhnp/Nurse Practitioner
Phone
(606) 400-2227

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 SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

600 Monticello St Ste 1
Somerset, KY 42501-2974

Mailing address

PO Box 142
Burnside, KY 42519-0142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325000082 KY Part B Supplier - Clinic/Group Practice 9931546140 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, KY

National Provider Directory

National Provider Directory

Locations

10550 S Highway 27
Ste 3
Burnside, KY 42519

600 Monticello St
Ste 1
Somerset, KY 42501
Phone (606) 400-2227

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": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1962278507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "BURNSIDE",
            "state": "KY",
            "postal_code": "425190142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MONTICELLO ST STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012974",
            "telephone_number": "606-400-2227",
            "fax_number": "606-332-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "PMHNP/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "606-400-2227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.