Organization Active NPI

Mindclub Behavioral Health PA

  • Mental Health Counselor
  • Franklin, TN
National Provider Identifier
1407717820
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MINDCLUB BEHAVIORAL HEALTH PA
Practice address
106 Mission CT Ste 201a
Franklin, TN 37067-6441
Phone
(615) 390-2865
NPI assigned
Nov 24, 2025
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Kathy Richardson
Title
VP
Phone
(615) 390-2865

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

106 Mission CT Ste 201a
Franklin, TN 37067-6441

Mailing address

106 Mission CT Ste 201a
Franklin, TN 37067-6441
Phone (615) 390-2865

Other practice location 1

8 The Grn Ste A
Dover, DE 19901-3618
Phone (615) 390-2865

Other practice location 2

401 N Carson St
Carson City, NV 89701-4221
Phone (615) 390-2865

Other practice location 3

2407 N Grand River Ave
Lansing, MI 48906-3900
Phone (833) 833-9655

Other practice location 4

302 W Washington St Rm 18
Indianapolis, IN 46204-4701
Phone (833) 833-9655

Other practice location 5

801 Capitol Way S
Olympia, WA 98501-1226
Phone (615) 390-2865

Other practice location 6

180 Civic Center Dr
Columbus, OH 43215-4138
Phone (833) 833-9655

Other practice location 7

401 North St Rm 206
Harrisburg, PA 17120-0500
Phone (833) 833-9655

Other practice location 8

2415 N Monroe St Ste 810
Tallahassee, FL 32303-4112
Phone (833) 833-9655

National Provider Directory

National Provider Directory

Locations

2415 N Monroe St
Ste 810
Tallahassee, FL 32303
Phone (833) 833-9655

302 W Washington St
Rm 18
Indianapolis, IN 46204
Phone (833) 833-9655

2407 N Grand River Ave
Lansing, MI 48906
Phone (833) 833-9655

401 N Carson St
Carson City, NV 89701
Phone (615) 390-2865

401 North St
Rm 206
Harrisburg, PA 17120
Phone (833) 833-9655

801 Capitol Way S
Olympia, WA 98501
Phone (615) 390-2865

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1407717820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MISSION CT STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676441",
            "telephone_number": "615-390-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MISSION CT STE 201A",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676441",
            "telephone_number": "615-390-2865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 The Grn Ste A",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199013618",
            "country_code": "US",
            "telephone_number": "615-390-2865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Carson St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897014221",
            "country_code": "US",
            "telephone_number": "615-390-2865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2407 N Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489063900",
            "country_code": "US",
            "telephone_number": "833-833-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 W Washington St Rm 18",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462044701",
            "country_code": "US",
            "telephone_number": "833-833-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Capitol Way S",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011226",
            "country_code": "US",
            "telephone_number": "615-390-2865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Civic Center Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154138",
            "country_code": "US",
            "telephone_number": "833-833-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 North St Rm 206",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171200500",
            "country_code": "US",
            "telephone_number": "833-833-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 N Monroe St Ste 810",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323034112",
            "country_code": "US",
            "telephone_number": "833-833-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDCLUB BEHAVIORAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-390-2865"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.