STATE OF MIND
NPI 1154160604
Nurse Practitioner - Psychiatric/Mental Health in Yakima, WA

Active since May 23, 2024
411 S 12TH AVE STE 2, YAKIMA, WA 98902(509) 969-3908(509) 873-7188 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About State Of Mind NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF MIND (NPI 1154160604) is a healthcare organization registered as a psychiatric/mental health in Yakima, Washington and active in the NPI registry since May 2024. The organization lists James Kendall Eakin, Owner/practitioner, as its authorized official.

NPPES Registry Identity

NPI1154160604
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSTATE OF MIND
Location Address411 S 12TH AVE STE 2Yakima, WA 98902-3109
Mailing Address11202 Cottonwood Canyon RdYakima, WA 98908-9372 · (509) 969-3908 · Fax (509) 873-7188
Fax(509) 873-7188
Organization SubpartNo
Authorized OfficialJames Kendall EakinOwner/practitioner · (509) 969-3908
Enumeration DateMay 23, 2024
NPPES CertifiedMay 23, 2024
✔ NPI 1154160604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
411 S 12TH AVE STE 2, Yakima, WA 98902

Other Names 1

Doing Business AsState Of Mind

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

State Of Mind is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to State Of Mind, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1306458849
3405 W NOB HILL BLVD RM 1
Yakima, WA 98902
(509) 901-7006
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1023688769
12 S 8TH ST
Yakima, WA 98901
(509) 454-4143
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1396031266
401 BUSTER RD
Toppenish, WA 98948
(509) 865-6203
✔ PECOS✔ Accepts Medicare17 mi
Mental Health Counselor
NPI 1063658326
705 S MAPLE ST
Ellensburg, WA 98926
(360) 244-2982
✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Mind's NPI number?

The NPI number for State Of Mind is 1154160604. It was assigned to this organization in the NPPES registry on May 23, 2024.

Where is State Of Mind located?

State Of Mind is located at 411 S 12th Ave Ste 2, Yakima, WA 98902. The listed phone number is (509) 969-3908.

What is State Of Mind's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is State Of Mind enrolled in Medicare?

Yes. State Of Mind is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through State Of Mind?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to State Of Mind, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does State Of Mind accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list State Of Mind as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Mind was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.