NPIMap

Organization Active NPI

Mind Above Matter, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burleson, TX
National Provider Identifier
1255741104
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND ABOVE MATTER, LLC
Practice address
2915 S Interstate 35 W
None
Burleson, TX 76028-1445
Phone
(817) 447-3001
Fax
(817) 447-3299
NPI assigned
Apr 30, 2014
Organization subpart
Yes
Parent organization
MIND ABOVE MATTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Mrs. Jennifer Kincaid
Title
President/Ceo
Phone
(817) 447-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2915 S Interstate 35 W
None
Burleson, TX 76028-1445

Mailing address

PO Box 1895
Burleson, TX 76097-1895
Phone (817) 447-3001

Other names 1

  • MAM Johnson County Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ips Irving22 organizations share this tax ID, including this one
Part of
Ips Irving

Other organizations with this tax ID 21

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

View all 21

Locations

2915 S Interstate 35 W
Burleson, TX 76028

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1255741104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760971895",
            "telephone_number": "817-447-3001",
            "fax_number": "817-447-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 S INTERSTATE 35 W",
            "address_2": "NONE",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281445",
            "telephone_number": "817-447-3001",
            "fax_number": "817-447-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ABOVE MATTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND ABOVE MATTER, LLC",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "817-447-3001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAM Johnson County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.