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: November 01, 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 2 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.