THE IMIND FOUNDATION – NPI #1255172631
Counselor

THE IMIND FOUNDATION is a counselor located in PORT SAINT LUCIE, FL. NPPES has assigned the NPI number 1255172631 to THE IMIND FOUNDATION on June 01, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 101YM0800X from the Health Care Provider Taxonomy code set, which is classified as Counselor, specializing in Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE IMIND FOUNDATION below.

NPI Profile for
THE IMIND FOUNDATION

NPI Number
1255172631
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE IMIND FOUNDATION
Primary location
145 NW CENTRAL PARK PLZ STE 112
PORT SAINT LUCIE, FL 34986-2482
Phone: (772) 617-6373 Fax: (844) 440-1724
Mailing address
160 NW CENTRAL PARK PLZ STE 104
PORT SAINT LUCIE, FL 34986-1825
Phone: (772) 617-6373 Fax: (844) 440-1724
Organization Subpart
No
Authorized Official
JUSTIN BAKSH
CEO
Phone: (772) 617-6373
Updated
Certification Date
Jun 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
101YM0800X
- Counselor / Mental Health (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry
1041C0700X
- Social Worker / Clinical

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.