MASTERMIND CLINIC PLLC
NPI 1285247486
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Q: What is Mastermind Clinic PLLC's NPI number?

The NPI number for Mastermind Clinic PLLC is 1285247486. It was assigned to this organization in the NPPES registry on August 26, 2020.

Q: What is Mastermind Clinic PLLC's specialty?

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

Active since August 26, 2020CLIA 06D2196076 · Waiver

5225 N ACADEMY BLVD # 305, COLORADO SPRINGS, CO 80918(719) 644-6463(844) 579-0123 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Sep 15, 2025, May 3, 2022 and 1 more (4 updates tracked since 2020).

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About Mastermind Clinic Pllc NPPES

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

MASTERMIND CLINIC PLLC (NPI 1285247486) is a healthcare organization registered as a psychiatric/mental health in Colorado Springs, Colorado and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through October 13, 2026, maintains a secondary practice location in Colorado Springs, and lists Jennie Stormes, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1285247486

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMASTERMIND CLINIC PLLC

Location Address5225 N ACADEMY BLVD # 305Colorado Springs, CO 80918-4000

Mailing Address5225 N Academy Blvd # 305Colorado Springs, CO 80918-4000 · (719) 644-6463 · Fax (844) 579-0123

Phone(719) 644-6463

Fax(844) 579-0123

Organization SubpartNo

Authorized OfficialJennie StormesPmhnp-bc · (719) 644-6463

Enumeration DateAugust 26, 2020

Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1285247486 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

5225 N ACADEMY BLVD # 305, Colorado Springs, CO 80918

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Secondary Practice Location 1

Location 1320 E Fontanero St Ste 301Colorado Springs, CO 80907-7526 · Phone (719) 479-9555 · Fax (844) 579-0123

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 06D2196076

Mastermind Clinic, PLLC · Colorado Springs, CO

Active · expires Oct 13, 2026

CLIA Number06D2196076

Laboratory TypePractitioner Other

Certificate Effective DateOctober 14, 2024

Certificate Expiration DateOctober 13, 2026

Laboratory DirectorJennie Stormes

Laboratory Phone(719) 644-6463

Laboratory LocationMastermind Clinic, PLLC5225 N Academy Blvd Suite 305, Colorado Springs, CO 80918

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

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

JENNIE STORMES MSN APN RXN PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

5225 N ACADEMY BLVD # 305
COLORADO SPRINGS, CO 80918

El Paso County (719) 644-6463

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 Mastermind Clinic PLLC's NPI number?

The NPI number for Mastermind Clinic PLLC is 1285247486. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Mastermind Clinic PLLC located?

Mastermind Clinic PLLC is located at 5225 N Academy Blvd # 305, Colorado Springs, CO 80918. The listed phone number is (719) 644-6463.

What is Mastermind Clinic PLLC's specialty?

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

Does Mastermind Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2196076) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mastermind Clinic PLLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.