MEDICARE: MINDFUL PATH PSYCHIATRY AND COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1114887387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDFUL PATH PSYCHIATRY AND COUNSELING

Provider Business Mailing Address
First Line	:	1120 DEPOT LN SE STE 100
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2547
Country	:	US
Telephone Number	:	815-570-9701
Fax Number	:	319-249-6220

Provider Business Practice Location Address
First Line	:	1120 DEPOT LN SE STE 100
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2547
Country	:	US
Telephone Number	:	815-570-9701
Fax Number	:	319-249-6220

Authorized Official
Title or Position	:	PMHNP
Name	:	ANNA SHUDZEKA SHUDZEKA
Credential	:	NP
Telephone Number	:	815-570-9701

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	11/12/2025

Similar Medicare Providers

1346311818 — DENNIS LAGRANGE LISW
Practice Location Address:

1120 DEPOT LN SE STE 100
CEDAR RAPIDS, IA
52401-2547

Practice Phone: 319-310-2979
Practice Fax:

1780380782 — AMERICAN GOLD HEALTH PRO LLC
Practice Location Address:

1120 DEPOT LN SE STE 100
CEDAR RAPIDS, IA
52401-2547

Practice Phone: 319-237-3193
Practice Fax:

1518658574 — CARE PLANNING INSTITUTE
Practice Location Address:

1120 DEPOT LN SE STE 100
CEDAR RAPIDS, IA
52401-2547

Practice Phone: 877-487-8166
Practice Fax: 800-466-6001

1063586071 — ABBE CENTER FOR COMMUNITY MENTAL HEALTH, INC
Practice Location Address:

615 5TH ST SE
CEDAR RAPIDS, IA
52401-2158

Practice Phone: 319-398-3562
Practice Fax: 319-398-3501

1366299018 — ABBE CENTER FOR COMMUNITY MENTAL HEALTH, INC
Practice Location Address:

615 5TH ST SE
CEDAR RAPIDS, IA
52401-2158

Practice Phone: 319-398-3562
Practice Fax: 319-398-3638

1548104102 — MRS. DANA MARIE UKIRI FNP
Practice Location Address:

305 2ND ST SE STE 350
CEDAR RAPIDS, IA
52401-1713

Practice Phone: 515-864-9696
Practice Fax:

Directions to “MINDFUL PATH PSYCHIATRY AND COUNSELING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.