Beautiful Minds Mental Health Services
NPI 1770213928 · Psychiatric/Mental Health Nurse Practitioner · Bolivar, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beautiful Minds Mental Health Services is a Psychiatric/Mental Health Nurse Practitioner organization in Bolivar, TN (NPI 1770213928).
Provider details
- NPI number
- 1770213928
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shanna Shackelford, Aprn, Pmhnp(901) 300-6808
Specialties & taxonomies
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
4 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
- 2022-06-11
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Frequently asked questions
- What is Beautiful Minds Mental Health Services's NPI number?
- Beautiful Minds Mental Health Services's National Provider Identifier (NPI) is 1770213928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beautiful Minds Mental Health Services?
- Beautiful Minds Mental Health Services is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Beautiful Minds Mental Health Services located?
- Beautiful Minds Mental Health Services's practice location on file with NPPES is 11100 Old Hwy 64, Bolivar, TN 38008.
- What is Beautiful Minds Mental Health Services's phone number?
- The practice phone number listed in the NPPES registry for Beautiful Minds Mental Health Services is (901) 300-6808.
- Does Beautiful Minds Mental Health Services accept Medicare?
- Beautiful Minds Mental Health Services 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 Beautiful Minds Mental Health Services?
- The authorized official listed on Beautiful Minds Mental Health Services's NPPES record is Shanna Shackelford, Aprn, Pmhnp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beautiful Minds Mental Health Services's NPI active?
- Yes — Beautiful Minds Mental Health Services's NPI (1770213928) is active in the NPPES registry as of the last update on 2023-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.