EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC
NPI 1730707662
Nurse Practitioner - Psychiatric/Mental Health in South Euclid, OH

Active since July 07, 2020
14055 CEDAR RD STE 200, SOUTH EUCLID, OH 44118(440) 252-1063 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2022, Jul 30, 2020, Jul 7, 2020 (3 updates tracked since 2020).

About Evolution Through Mind, Body, And Spirit, Llc NPPES

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

EVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC (NPI 1730707662) is a healthcare organization registered as a psychiatric/mental health in South Euclid, Ohio and active in the NPI registry since July 2020. The organization lists Nicole Dione Berry, Ceo/founder, as its authorized official.

NPPES Registry Identity

NPI1730707662
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVOLUTION THROUGH MIND, BODY, AND SPIRIT, LLC
Location Address14055 CEDAR RD STE 200South Euclid, OH 44118-3333
Mailing Address14055 Cedar Rd Ste 200South Euclid, OH 44118-3333 · (440) 252-1063
Organization SubpartNo
Authorized OfficialNicole Dione BerryCeo/founder · (440) 252-1063
Enumeration DateJuly 7, 2020
Last NPPES UpdateJanuary 6, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2022
✔ NPI 1730707662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/CenterTaxonomy 261Q00000X
14055 CEDAR RD STE 200, South Euclid, OH 44118

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evolution Through Mind, Body, And Spirit, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolution Through Mind, Body, And Spirit, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1982855714
14055 CEDAR RD STE 200
South Euclid, OH 44118
(216) 223-6277
✔ PECOSSame address

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 Evolution Through Mind, Body, And Spirit, LLC's NPI number?

The NPI number for Evolution Through Mind, Body, And Spirit, LLC is 1730707662. It was assigned to this organization in the NPPES registry on July 7, 2020.

Where is Evolution Through Mind, Body, And Spirit, LLC located?

Evolution Through Mind, Body, And Spirit, LLC is located at 14055 Cedar Rd Ste 200, South Euclid, OH 44118. The listed phone number is (440) 252-1063.

What is Evolution Through Mind, Body, And Spirit, LLC's specialty?

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

Is Evolution Through Mind, Body, And Spirit, LLC enrolled in Medicare?

Yes. Evolution Through Mind, Body, And Spirit, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolution Through Mind, Body, And Spirit, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Evolution Through Mind, Body, And Spirit, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Evolution Through Mind, Body, And Spirit, LLC accept?

Health plans from Molina Healthcare list Evolution Through Mind, Body, And Spirit, 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 Evolution Through Mind, Body, And Spirit, LLC was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.