Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIND BODY CO-OP
NPI 1770174559
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since February 03, 2021
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602(312) 279-9981(312) 279-9981 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Dec 11, 2025, Sep 2, 2025 and 3 more (6 updates tracked since 2021).

About Mind Body Co-op NPPES

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

MIND BODY CO-OP (NPI 1770174559) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since February 2021. The organization maintains a secondary practice location in Chicago and lists Kellie Rice, Founder/ceo, as its authorized official.

NPPES Registry Identity

NPI1770174559
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND BODY CO-OP
Location Address30 N MICHIGAN AVE STE 424Chicago, IL 60602-3844
Mailing Address3209 N Lakewood AveChicago, IL 60657-3215 · (872) 274-4344 · Fax (866) 671-9991
Fax(312) 279-9981
Organization SubpartYes
Authorized OfficialKellie RiceFounder/ceo · (312) 279-9981
Enumeration DateFebruary 3, 2021
Last NPPES UpdateAugust 27, 20266 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
NPI 1770174559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNutritionistTaxonomy 133N00000X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
30 N MICHIGAN AVE STE 424, Chicago, IL 60602

Other Names 1

Doing Business AsMind Body Co-op

Secondary Practice Location 1

Location 13209 N Lakewood AveChicago, IL 60657-3215 · Phone (872) 274-4344 · Fax (866) 671-9991

Other Identifiers 1

Medicaid1750668091IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Counselor (Professional)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Counselor
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Social Worker (Clinical)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Psychologist (Clinical)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Marriage & Family Therapist
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602
Nurse Practitioner (Psychiatric/Mental Health)
30 N MICHIGAN AVE STE 424
CHICAGO, IL 60602

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 Body Co-Op's NPI number?

The NPI number for Mind Body Co-Op is 1770174559. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Mind Body Co-Op located?

Mind Body Co-Op is located at 30 N Michigan Ave Ste 424, Chicago, IL 60602. The listed phone number is (312) 279-9981.

What is Mind Body Co-Op'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 Mind Body Co-Op was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.