Enlightened Mind LLC
NPI 1912606997 · Clinical Social Worker · Port Huron, MI
Enlightened Mind LLC is a Clinical Social Worker organization in Port Huron, MI (NPI 1912606997).
Provider details
- NPI number
- 1912606997
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Nathanael Russell, Clinical Director(810) 689-9633
Specialties & taxonomies
Behavioral Health & Social Service 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
- 2023-02-28
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Enlightened Mind LLC's NPI number?
- Enlightened Mind LLC's National Provider Identifier (NPI) is 1912606997, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enlightened Mind LLC?
- Enlightened Mind LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Enlightened Mind LLC located?
- Enlightened Mind LLC's practice location on file with NPPES is 2837 Walnut St, Port Huron, MI 48060-2162.
- What is Enlightened Mind LLC's phone number?
- The practice phone number listed in the NPPES registry for Enlightened Mind LLC is (810) 689-4547.
- Who is the authorized official for Enlightened Mind LLC?
- The authorized official listed on Enlightened Mind LLC's NPPES record is Nathanael Russell, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enlightened Mind LLC's NPI active?
- Yes — Enlightened Mind LLC's NPI (1912606997) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.