Growing Minds Learning Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

GROWING MINDS LEARNING CENTER, LLC

Practice address

1048 Ashley St Ste 101
Bowling Green, KY 42103-2449

Phone

(615) 696-6761

Fax

(615) 880-5782

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Jessica Kirk

Title

Revenue Cycle Manager

Phone

(615) 880-5782

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Surpass Behavioral Health Doing business as

Locations

Practitioners 125

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

• Amanda Louise Acuna, RBT

  • Behavior Technician
  • Henderson, KY
  • NPI 1407462567
  NPD (past)
• Hailey Arnett

  • Behavior Technician
  • Henderson, KY
  • NPI 1124754676
  NPD (past)
• Jennifer Axton

  • Behavior Technician
  • Paducah, KY
  • NPI 1811567753
  NPD (past)
• Rebeccah Ayer

  • Behavior Technician
  • Owensboro, KY
  • NPI 1598249625
  NPD (past)
• Deana Baggett

  • Behavior Technician
  • Henderson, KY
  • NPI 1770203002
  NPD (past)
• Emily Barbee

  • Behavior Technician
  • Paducah, KY
  • NPI 1558098483
  NPD (past)
• Kaitlyn Barnett

  • Behavior Technician
  • Owensboro, KY
  • NPI 1194452862
  NPD (past)
• Kylee Bean

  • Behavior Technician
  • Paducah, KY
  • NPI 1891573754
  NPD (past)
• Brooke Bennett

  • Behavior Technician
  • Henderson, KY
  • NPI 1225753387
  NPD (past)
• Whitny J Booher

  • Behavior Technician
  • Paducah, KY
  • NPI 1710592696
  NPD (past)
• Skyler Bradford

  • Behavior Technician
  • Hopkinsville, KY
  • NPI 1013796978
  NPD (past)
• Nolan Bramschreiber

  • Behavior Analyst
  • Henderson, KY
  • NPI 1710344072
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1275813222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931142",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931142",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 ASHLEY ST STE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032449",
            "telephone_number": "615-696-6761",
            "fax_number": "615-880-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDS LEARNING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "615-880-5782"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCL WAIVER",
            "identifier": "7100174590",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100215710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surpass Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Rae Griggs, M.D.
• Macie Joellen Groce, LCSW
• Grove Dialysis LLC
• Myreisha D Groves, BA, RBT
• Growing Foundations LLC
• Guardian Emergency Physicians, LLC
• Dawn Guess, APRN
• Julia F Guillory, R.PH.
• Arron Dalton Gunderson, CRNA
• Shamika Gunn

• Behavior Analyst in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.