AMBIENTMINDS BEHAVIORAL & WELLNESS CENTER PLLC
NPI 1851181093
Nurse Practitioner - Psychiatric/Mental Health in Lisle, IL

Active since May 10, 2025
3030 WARRENVILLE RD STE 450-06, LISLE, IL 60532(567) 262-4368 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Jul 9, 2025, May 10, 2025 (3 updates tracked since 2025).

About Ambientminds Behavioral & Wellness Center Pllc NPPES

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

AMBIENTMINDS BEHAVIORAL & WELLNESS CENTER PLLC (NPI 1851181093) is a healthcare organization registered as a psychiatric/mental health in Lisle, Illinois and active in the NPI registry since May 2025. The organization lists Lateef Kelani, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851181093
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAMBIENTMINDS BEHAVIORAL & WELLNESS CENTER PLLC
Location Address3030 WARRENVILLE RD STE 450-06Lisle, IL 60532-1000
Mailing Address3030 Warrenville Rd Ste 450-06Lisle, IL 60532-1000 · (567) 262-4368 · Fax (708) 318-7345
Organization SubpartNo
Authorized OfficialLateef KelaniCeo · (567) 262-4368
Enumeration DateMay 10, 2025
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1851181093 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
3030 WARRENVILLE RD STE 450-06, Lisle, IL 60532

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambientminds Behavioral & Wellness Center Pllc 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 Ambientminds Behavioral & Wellness Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1164028189
3030 WARRENVILLE RD STE 450-06
Lisle, IL 60532
(567) 262-4368
✔ PECOS✔ Accepts MedicareSame 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 Ambientminds Behavioral & Wellness Center PLLC's NPI number?

The NPI number for Ambientminds Behavioral & Wellness Center PLLC is 1851181093. It was assigned to this organization in the NPPES registry on May 10, 2025.

Where is Ambientminds Behavioral & Wellness Center PLLC located?

Ambientminds Behavioral & Wellness Center PLLC is located at 3030 Warrenville Rd Ste 450-06, Lisle, IL 60532. The listed phone number is (567) 262-4368.

What is Ambientminds Behavioral & Wellness Center PLLC's specialty?

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

Is Ambientminds Behavioral & Wellness Center PLLC enrolled in Medicare?

Yes. Ambientminds Behavioral & Wellness Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ambientminds Behavioral & Wellness Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ambientminds Behavioral & Wellness Center PLLC. 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.

When was this NPI record last updated?

The NPPES record for Ambientminds Behavioral & Wellness Center PLLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.