1. Home
  2. Directory
  3. Minnesota
  4. North Mankato
  5. Nurse Practitioner
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NORTHERN LIGHTS PSYCHIATRIC SERVICES, PLLC
NPI 1629984547
Nurse Practitioner - Psychiatric/Mental Health in North Mankato, MN

Active since August 20, 2026
1826 COMMERCE DR, NORTH MANKATO, MN 56003(573) 590-0267 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Northern Lights Psychiatric Services, Pllc NPPES

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

NORTHERN LIGHTS PSYCHIATRIC SERVICES, PLLC (NPI 1629984547), doing business as Waking Souls, Pllc, is a healthcare organization registered as a psychiatric/mental health in North Mankato, Minnesota and active in the NPI registry since August 2026. The organization lists Jaimee Ann Kudrle, Owner, as its authorized official.

NPPES Registry Identity

NPI1629984547
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNORTHERN LIGHTS PSYCHIATRIC SERVICES, PLLC
Location Address1826 COMMERCE DRNorth Mankato, MN 56003-1800
Mailing Address21298 State Highway 60Eagle Lake, MN 56024-4494 · (507) 201-9445
Phone(573) 590-0267
Organization SubpartNo
Authorized OfficialJaimee Ann KudrleOwner · (573) 590-0267
Enumeration DateAugust 20, 2026
NPPES CertifiedAugust 20, 2026
✔ NPI 1629984547 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
1826 COMMERCE DR, North Mankato, MN 56003
Open in Google Maps ↗

Other Names 1

Former Legal Business NameWaking Souls, Pllc

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

Other Providers at the Same Location NPPES 12

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

MRS. CASSIE JANE RAMERTH MS, LADC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
MANKATO CHEMICAL HEALTH, LLC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
AMANDA LEE BURG LADC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
JADA DELACRUZ LADC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
JOLINE NORDLEE
Peer Specialist
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
MATT BLANSHAN CPRS
Peer Specialist
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
ALEXA M LOFGREN LADC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350
STEPHANIE ELIZABET JORDAN LADC
Counselor (Addiction (Substance Use Disorder))
1826 COMMERCE DR
NORTH MANKATO, MN 56003
Nicollet County (507) 229-0350

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 Northern Lights Psychiatric Services, PLLC's NPI number?

The NPI number for Northern Lights Psychiatric Services, PLLC is 1629984547. It was assigned to this organization in the NPPES registry on August 20, 2026. The provider was formerly known as Waking Souls, PLLC.

Where is Northern Lights Psychiatric Services, PLLC located?

Northern Lights Psychiatric Services, PLLC is located at 1826 Commerce Dr, North Mankato, MN 56003. The listed phone number is (573) 590-0267.

What is Northern Lights Psychiatric Services, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Lights Psychiatric Services, PLLC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.