MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC
NPI 1073255055
Clinical Nurse Specialist - Psychiatric/Mental Health in Chapel Hill, NC

NPI Status: Active since April 11, 2022

Contact Information

318 CLOISTER CT
CHAPEL HILL, NC
ZIP 27514
Phone: (919) 390-1398
Fax: (984) 278-6614

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  • Organization
  • Clinical Nurse Specialist
  • Psychiatric/Mental Health

About MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC

This page provides the complete NPI Profile along with additional information for Mind, Body & Soul Behavioral Health Pllc, a provider established in Chapel Hill, North Carolina operating as a Clinical Nurse Specialist, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1073255055 assigned on April 2022. The practitioner's primary taxonomy code is 364SP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Jennifer Inez Mclean-russ Msn/np (Pmh-np)

NPI
1073255055
Provider Name
MIND, BODY & SOUL BEHAVIORAL HEALTH PLLC
Entity Type
Organization
Location Address
318 CLOISTER CT CHAPEL HILL, NC 27514
Location Phone
(919) 390-1398
Location Fax
(984) 278-6614
Mailing Address
318 CLOISTER CT CHAPEL HILL, NC 27514
Mailing Phone
(919) 390-1398
Mailing Fax
(984) 278-6614
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2022
Last Update Date
06-18-2025
Code Navigator

A Clinical Nurse Specialist (CNS) like Mind, Body & Soul Behavioral Health Pllc is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

Location Map

Secondary Locations

  • 554 N Main St
    South Boston, VA 24592
    (919) 390-1398

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Nurse Specialist Psychiatric/Mental Health

Taxonomy Code
364SP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER INEZ MCLEAN-RUSS MSN/NP

Authorized Official Title
PMH-NP
Authorized Official Phone
(919) 638-4115

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073255055, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 2 → 4 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 4 + 5 + 1 + 0 + 0 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073255055.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
318 CLOISTER CT
CHAPEL HILL, NC 27514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073255055, enumerated as an "organization" on April 11, 2022.

The provider is located at 318 CLOISTER CT CHAPEL HILL, NC 27514 and the phone number is (919) 390-1398.

Clinical Nurse Specialist with taxonomy code 364SP0808X and a focus in Psychiatric/Mental Health.