Mindcare Mental Health Group

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDCARE MENTAL HEALTH GROUP

Practice address

3000 Canton Pike
Suite H
Hopkinsville, KY 42240-1383

Phone

(270) 498-6465

NPI assigned

Mar 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelley Willig, LCSWNPI 1083157028

Title

Owner

Phone

(270) 498-6465

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Willig

  • Clinical Social Worker
  • Fort Campbell, KY
  • NPI 1083157028
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1083474449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CANTON PIKE",
            "address_2": "SUITE H",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401383",
            "telephone_number": "270-498-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CANTON PIKE",
            "address_2": "SUITE H",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401383",
            "telephone_number": "270-498-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCARE MENTAL HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIG",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-498-6465",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://www.therapynotes.com/",
            "affiliation": "N",
            "endpointDescription": "EHR system used",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3000 Canton Pike",
            "address_2": "Suite H",
            "city": "Hopkinsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "422401383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Medeiros, CSW
• Mid-South Nursing Homes, Inc
• Kathryn Jean Mikol, MSN, APRN, PMHNP-BC
• Kayla Milauskas
• Millbrooke Elementary School
• Mindclub Kentucky LLC
• Canice Clarice Minor
• Mitchell D Kaye PSC
• Larena Mitchell, LMT
• C. Hope Mitchuson

• Clinical Social Worker in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.