{"npi":"1992573166","type":"NPI-2","status":"active","name":{"display":"Wellness Mindset Counseling Services LLC","other":[],"organization_name":"WELLNESS MINDSET COUNSELING SERVICES LLC","authorised_official":"Ekiba Smith"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"261QM0850X","description":"Adult Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QM0801X","description":"Mental Health Clinic/Center (Including Community Mental Health Center)","primary":false,"state":null,"license":null},{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1417 HAMLIN AVE UNIT G","city":"SAINT CLOUD","state":"FL","postal_code":"347718590","country_code":"US","phone":"4076764276"},{"purpose":"MAILING","street_1":"1427 BELLADONNA PL # 1018","city":"SAINT CLOUD","state":"FL","postal_code":"347715813","country_code":"US","phone":"9544654942"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20241003000266","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"6406387331"}]},"enumeration_date":"2023-12-18","last_updated":"2026-04-08","_meta":{"source":"NPPES","snapshot_date":"2026-04-08","doc_url":"https://findmynpi.com/api"}}