Mind Body Connections LLC
NPI 1295519213 · Psychiatric/Mental Health Clinical Nurse Specialist · Black Hawk, SD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mind Body Connections LLC is a Psychiatric/Mental Health Clinical Nurse Specialist organization in Black Hawk, SD (NPI 1295519213).
Provider details
- NPI number
- 1295519213
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Koupal, Business Owner(605) 431-3388
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Mind Body Connections LLC's NPI number?
- Mind Body Connections LLC's National Provider Identifier (NPI) is 1295519213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Body Connections LLC?
- Mind Body Connections LLC is classified in the NPPES registry as Psychiatric/Mental Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mind Body Connections LLC located?
- Mind Body Connections LLC's practice location on file with NPPES is 8000 Black Hawk Rd Ste 4, Black Hawk, SD 57718-3315.
- What is Mind Body Connections LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind Body Connections LLC is (605) 431-3388.
- Does Mind Body Connections LLC accept Medicare?
- Mind Body Connections LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mind Body Connections LLC?
- The authorized official listed on Mind Body Connections LLC's NPPES record is Jessica Koupal, Business Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Body Connections LLC's NPI active?
- Yes — Mind Body Connections LLC's NPI (1295519213) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.