NPIMap

Organization Active NPI

Minds Matter

  • Clinical Social Worker
  • Clarksville, TN
National Provider Identifier
1124680012
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MINDS MATTER
Practice address
1989 Madison St
Clarksville, TN 37043-5067
Phone
(931) 408-9909
NPI assigned
Jul 1, 2019
Last updated
Oct 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Terrance Page
Title
Manager
Phone
(931) 561-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1989 Madison St
Clarksville, TN 37043-5067

Mailing address

401 Salem Rd
Clarksville, TN 37040-7819
Phone (615) 587-2891

National Provider Directory

National Provider Directory
Tax ID family
Minds Matter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1989 Madison St
Clarksville, TN 37043
Phone (504) 472-4277

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1124680012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SALEM RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407819",
            "telephone_number": "615-587-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435067",
            "telephone_number": "931-408-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-561-5252"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.