WALNUT CREEK PSYCHIATRY
NPI 1245833565
Nurse Practitioner - Psychiatric/Mental Health in Johnston, IA

Active since November 19, 2020CLIA Certified · 2 labs
5408 NW 88TH ST STE 140, JOHNSTON, IA 50131(515) 368-7504(515) 355-3491 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jun 1, 2023, May 25, 2023 and 6 more (9 updates tracked since 2020).

About Walnut Creek Psychiatry NPPES

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

WALNUT CREEK PSYCHIATRY (NPI 1245833565) is a healthcare organization registered as a psychiatric/mental health in Johnston, Iowa and active in the NPI registry since November 2020. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Hillary Chidester, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245833565
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMENDING MINDS, LLC
Location Address5408 NW 88TH ST STE 140Johnston, IA 50131-2953
Mailing Address5408 Nw 88th St Ste 140Johnston, IA 50131-2953 · (515) 368-7504 · Fax (515) 355-3491
Fax(515) 355-3491
Organization SubpartNo
Authorized OfficialHillary ChidesterOffice Manager · (515) 368-7504
Enumeration DateNovember 19, 2020
Last NPPES UpdateAugust 14, 20249 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1245833565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
5408 NW 88TH ST STE 140, Johnston, IA 50131

Other Names 1

Doing Business AsWalnut Creek Psychiatry

Secondary Practice Locations 3

Location 1515 Pacific AveAudubon, IA 50025-1056 · Phone (515) 368-7504 · Fax (515) 355-3491
Location 2223 S Walnut AveAmes, IA 50010-6974 · Phone (515) 368-7504 · Fax (515) 355-3491
Location 3710 N 12th StGuthrie Center, IA 50115-1536 · Phone (515) 368-7504

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2287810

Walnut Creek Psychiatry · Ames, IA
Active · expires Aug 16, 2027
CLIA Number16D2287810
Laboratory TypePractitioner Other
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorLorraine A. Chidester
Laboratory Phone(515) 368-7504
Laboratory LocationWalnut Creek Psychiatry223 S Walnut Ave, Ames, IA 50010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2287808

Walnut Creek Psychiatry · Johnston, IA
Active · expires Aug 16, 2027
CLIA Number16D2287808
Laboratory TypePractitioner Other
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorLorraine A. Chidester
Laboratory Phone(515) 368-7504
Laboratory LocationWalnut Creek Psychiatry5408 NW 88th St #140, Johnston, IA 50131
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131
Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131
Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131
Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131
Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131
Nurse Practitioner (Psychiatric/Mental Health)
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131

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 Mending Minds, LLC's NPI number?

The NPI number for Mending Minds, LLC is 1245833565. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as Walnut Creek Psychiatry.

Where is Mending Minds, LLC located?

Mending Minds, LLC is located at 5408 NW 88th St Ste 140, Johnston, IA 50131. The listed phone number is (515) 368-7504.

What is Mending Minds, LLC's specialty?

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

Does Mending Minds, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mending Minds, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Mending Minds, LLC 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 Mending Minds, LLC was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.