Active NPI
The Mind Body Connection LLC
- Clinical Social Worker
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE MIND BODY CONNECTION LLC
- Practice address
- 8353 Dudley CT
Arvada, CO 80005-2426 - Phone
- (720) 663-9691
- NPI assigned
- Jan 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendra M Kovash, LCSW
- Title
- Owner/Therapist
- Phone
- (720) 663-9691
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
8353 Dudley CT
Arvada, CO 80005-2426
Mailing address
8353 Dudley CT
Arvada, CO 80005-2426
Phone (701) 590-0798
National Provider Directory
National Provider Directory- Tax ID family
- The Mind Body Connection LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Centennial, CO
- NPI 1033007182
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinical Social Worker
- Centennial, CO
- NPI 1033007182
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Bismarck, ND
- NPI 1659749539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1235909789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8353 DUDLEY CT",
"city": "ARVADA",
"state": "CO",
"postal_code": "800052426",
"telephone_number": "701-590-0798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8353 DUDLEY CT",
"city": "ARVADA",
"state": "CO",
"postal_code": "800052426",
"telephone_number": "720-663-9691"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MIND BODY CONNECTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "KOVASH",
"authorized_official_first_name": "KENDRA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "720-663-9691",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Michele Theoharris, LMT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.