MIND BODY CO-OP NPI 1750668091

NPI Information

NPI: 1750668091
Provider Name: MIND BODY CO-OP

Former Legal Business Name: KELLIE RINEHART RICE LCPC, LTD

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602
Phone: (312) 279-9981
Get Directions

MIND BODY CO-OP is a psychiatric/mental health nurse practitioner in Chicago, IL. MIND BODY CO-OP NPI is 1750668091. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kellie Rinehart Rice Lcpc, Ltd.

The provider's business location address is:

30 N MICHIGAN AVE STE 424
CHICAGO, IL
ZIP 60602-844
Phone: (312) 279-9981
Fax: (800) 332-4281

The provider's authorized official is Kellie Rice .
The authorized official title is Founder & Ceo and has the following contact phone number (312) 279-9981.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 6/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	175L00000X	Homeopath			No
2	2083A0300X	Preventive Medicine	Addiction Medicine		No
3	101YM0800X	Counselor	Mental Health		No
4	101YP2500X	Counselor	Professional	ILLINOIS	No
5	103G00000X	Clinical Neuropsychologist			No
6	103TA0400X	Psychologist	Addiction (Substance Use Disorder)		No
7	103TH0004X	Psychologist	Health		No
8	103TP2701X	Psychologist	Group Psychotherapy		No
9	1041C0700X	Social Worker	Clinical		No
10	106H00000X	Marriage & Family Therapist			No
11	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)		No
12	171100000X	Acupuncturist			No
13	175F00000X	Naturopath			No
14	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1750668091	OTHER	ILLINOIS	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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