Minds N Motion, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MINDS N MOTION, LLC

Practice address

3613 Fleetwood Dr
Fort Worth, TX 76123-2377

Phone

(817) 996-0402

Fax

(682) 628-0891

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Yasmin Michelle JacksonNPI 1164794483

Title

Owner

Phone

(817) 996-0402

Specialties & licenses 1

Addresses

Practitioners 1

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

• Yasmin Michelle Jackson, BSN, MED

  • Mental Health Counselor
  • Coyle, OK
  • NPI 1164794483
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1497512610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 FLEETWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232377",
            "telephone_number": "817-996-0402",
            "fax_number": "682-628-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 FLEETWOOD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232377",
            "telephone_number": "817-996-0402",
            "fax_number": "682-628-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS N MOTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "YASMIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-996-0402"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Mosaic Therapy PC
• Mindful Motion Therapies, LLC
• Mindful Possibilities LLC Robert Corey Boes Sole MBR
• Mindful Purpose-Guided Counseling Services, LLC
• Mindfull NR, LLC (Mindfull Neuro Recovery)
• Charles Alan Miner, CRNA
• Londyn Miner, PT
• Quantacia Miner, PHLEBOTOMIST
• Bryan Woei Ming, MD
• Danielle Marie Mings-McDaniel, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.