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MYND MGMT LLC
NPI 1396553517
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, IN

Active since December 19, 2024
5 EXECUTIVE DR STE C2, LAFAYETTE, IN 47905(765) 684-4979(765) 274-0243 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mynd Mgmt Llc NPPES

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

MYND MGMT LLC (NPI 1396553517) is a healthcare organization registered as a psychiatric/mental health in Lafayette, Indiana and active in the NPI registry since December 2024. The organization lists Nicole Spence, Owner, as its authorized official.

NPPES Registry Identity

NPI1396553517
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMYND MGMT LLC
Location Address5 EXECUTIVE DR STE C2Lafayette, IN 47905-4867
Mailing Address11048 E 675 NOtterbein, IN 47970-8023 · (765) 684-4979
Phone(765) 684-4979
Fax(765) 274-0243
Organization SubpartNo
Authorized OfficialNicole SpenceOwner · (765) 684-4979
Enumeration DateDecember 19, 2024
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1396553517 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
5 EXECUTIVE DR STE C2, Lafayette, IN 47905
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES

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

ASHLIE M TISLOW
Nurse Practitioner (Psychiatric/Mental Health)
5 EXECUTIVE DR STE C2
LAFAYETTE, IN 47905
Tippecanoe County (765) 418-1849

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 Mynd Mgmt LLC's NPI number?

The NPI number for Mynd Mgmt LLC is 1396553517. It was assigned to this organization in the NPPES registry on December 19, 2024.

Where is Mynd Mgmt LLC located?

Mynd Mgmt LLC is located at 5 Executive Dr Ste C2, Lafayette, IN 47905. The listed phone number is (765) 684-4979.

What is Mynd Mgmt LLC's specialty?

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

What insurance does Mynd Mgmt LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Mynd Mgmt 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 Mynd Mgmt LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.