Organization Active NPI

Lifted Minds Family Services

  • Case Management Agency
  • Dallas, TX
National Provider Identifier
1194683250
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFTED MINDS FAMILY SERVICES
Practice address
3626 North Hall Street (Two Oak Lawn)
Suite 610-N21
Dallas, TX 75219
Phone
(469) 904-0042
Fax
(469) 904-0295
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Riviera Basey
Title
Ceo
Phone
(804) 761-0772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3626 North Hall Street (Two Oak Lawn)
Suite 610-N21
Dallas, TX 75219

Mailing address

3626 North Hall Street (Two Oak Lawn)
Suite 610-N21
Dallas, TX 75219
Phone (469) 904-0042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1194683250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 NORTH HALL STREET (TWO OAK LAWN)",
            "address_2": "SUITE 610-N21",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "469-904-0042",
            "fax_number": "469-904-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 NORTH HALL STREET (TWO OAK LAWN)",
            "address_2": "SUITE 610-N21",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "469-904-0042",
            "fax_number": "469-904-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTED MINDS FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "BASEY",
        "authorized_official_first_name": "RIVIERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-761-0772"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.