Organization Active NPI

Matters of the Mind, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • N Las Vegas, NV
National Provider Identifier
1477187953
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MATTERS OF THE MIND, LLC
Practice address
4538 W Craig Rd Ste 240
N Las Vegas, NV 89032-2510
Phone
(702) 647-6433
Fax
(702) 647-6434
NPI assigned
Feb 24, 2020
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Antranique Lowe
Title
Ceo
Phone
(702) 647-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4538 W Craig Rd Ste 240
N Las Vegas, NV 89032-2510

Mailing address

4538 W Craig Rd Ste 240
N Las Vegas, NV 89032-2510
Phone (702) 647-6433

Other identifiers 1

IdentifierTypeStateIssuer
1275071623MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@mmbehavior.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Matters of the Mind LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4538 W Craig Rd
Ste 240
North Las Vegas, NV 89032
Phone (702) 647-6433

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1477187953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD STE 240",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322510",
            "telephone_number": "702-647-6433",
            "fax_number": "702-647-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 W CRAIG RD STE 240",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322510",
            "telephone_number": "702-647-6433",
            "fax_number": "702-647-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTERS OF THE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "ANTRANIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-647-6433"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275071623",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@mmbehavior.org",
            "affiliation": "N",
            "endpointDescription": "contact@mmbehavior.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4538 W Craig Rd Ste 240",
            "city": "N Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890322510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.