OrganizationActive
The Imind Foundation
NPI 1255172631 · Mental Health Counselor · Port Saint Lucie, FL
Provider details
- NPI number
- 1255172631
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Justin Baksh, Ceo(772) 617-6373
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
145 Nw Central Park Plz Ste 112
Port Saint Lucie, FL 34986-2482
Phone: (772) 617-6373
Fax: (844) 440-1724
Street-level locationGet directions
Mailing address
160 Nw Central Park Plz Ste 104
Port Saint Lucie, FL 34986-1825
Registry dates
- Enumerated
- 2024-06-01
- Last updated
- 2024-06-01
- Certified
- 2024-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.