MIND SPA
NPI 1295408789
Clinic/Center - Adult Mental Health in Greenwood Village, CO
About Mind Spa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND SPA (NPI 1295408789) is a healthcare organization registered as an adult mental health in Greenwood Village, Colorado and active in the NPI registry since July 2021. The organization lists Sam Peterson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mind Spa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Mind Spa, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Peterson Afb, CO 80914
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 Mind Spa Inc's NPI number?
The NPI number for Mind Spa Inc is 1295408789. It was assigned to this organization in the NPPES registry on July 29, 2021. The provider is doing business as Mind Spa.
Where is Mind Spa Inc located?
Mind Spa Inc is located at 5340 S Quebec St # 230S, Greenwood Village, CO 80111. The listed phone number is (509) 385-4800.
What is Mind Spa Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Mind Spa Inc enrolled in Medicare?
Yes. Mind Spa Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind Spa Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Mind Spa Inc. 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. The largest specialties are Psychiatry (3), Nurse Practitioner (2) and Clinical Psychologist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mind Spa Inc was last updated on October 15, 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.
# Mind Spa · NPI 1295408789
Adult Mental Health organization in Greenwood Village, Colorado. Organization record, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1295408789 (Entity type: Organization)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Legal business name:** Mind Spa Inc
- **Organization subpart:** No
- **Authorized official:** Sam Peterson, CEO
## Practice location
- **Address:** 5340 S QUEBEC ST # 230S, Greenwood Village, CO 80111-1909
- **Phone:** (509) 385-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (3), Nurse Practitioner (2), Clinical Psychologist (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295408789) · Data from the CMS NPPES public registry.