Organization Active NPI

Kindred Minds LLC

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1235099201
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KINDRED MINDS LLC
Practice address
1664 Calgary Way
Bowling Green, KY 42101-6504
Phone
(931) 305-0357
NPI assigned
Nov 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Sydney Wilson, LCSW
Title
Owner
Phone
(931) 305-0357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1664 Calgary Way
Bowling Green, KY 42101-6504

Mailing address

1664 Calgary Way
Bowling Green, KY 42101-6504
Phone (931) 305-0357

National Provider Directory

National Provider Directory

Locations

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1235099201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 CALGARY WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016504",
            "telephone_number": "931-305-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 CALGARY WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016504",
            "telephone_number": "931-305-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-305-0357",
        "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": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.