MIND 247 PRACTICE LLC
NPI 1811613417
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ
About Mind 247 Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIND 247 PRACTICE LLC (NPI 1811613417) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since October 2022. The organization lists Aisha Depriest, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mind 247 Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
97Medicare enrollment records show 97 clinicians reassign Medicare billing to Mind 247 Practice LLC, which bills Medicare for the services they deliver. Of these, 31 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 97Source: 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 Mind 247 Practice LLC's NPI number?
The NPI number for Mind 247 Practice LLC is 1811613417. It was assigned to this organization in the NPPES registry on October 14, 2022.
Where is Mind 247 Practice LLC located?
Mind 247 Practice LLC is located at 10046 N Metro Pkwy W Ste 115, Phoenix, AZ 85051. The listed phone number is (844) 646-3247.
What is Mind 247 Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Mind 247 Practice LLC enrolled in Medicare?
Yes. Mind 247 Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mind 247 Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 97 clinicians in 5 Medicare specialties reassign their Medicare billing to Mind 247 Practice 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. The largest specialties are Nurse Practitioner (81), Mental Health Counselor (8) and Clinical Social Worker (5). Of these, 31 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mind 247 Practice LLC was last updated on October 14, 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.
# Mind 247 Practice Llc · NPI 1811613417
Mental Health (Including Community Mental Health Center) organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since October 14, 2022.
## Identity
- **NPI:** 1811613417 (Entity type: Organization)
- **Enumerated:** October 14, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Aisha Depriest, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 10046 N METRO PKWY W STE 115, Phoenix, AZ 85051-1411
- **Phone:** (844) 646-3247 · **Fax:** (480) 546-4048
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 97 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (81), Mental Health Counselor (8), Clinical Social Worker (5); 31 practice within 10 miles; [full list](https://npiprofile.com/npi/1811613417/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1811613417) · Data from the CMS NPPES public registry.