Healthcare Provider Details
I. General information
NPI: 1366210692
Provider Name (Legal Business Name): JOYFUL MIND INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2023
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 6TH ST STE 100
AMES IA
50010-6181
US
IV. Provider business mailing address
315 6TH ST STE 100
AMES IA
50010-6181
US
V. Phone/Fax
- Phone: 515-412-4110
- Fax: 515-855-2550
- Phone: 515-412-4110
- Fax: 515-855-2550
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
KRISTEN
MYERS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: PH.D, ARNP, PMHNP-BC
Phone: 515-708-3778