Active NPI
Mending Minds, LLC
- Clinical Social Worker
- Hartford, KY
National Provider Identifier
1528601705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MENDING MINDS, LLC
- Practice address
- 434 Liberty St
Hartford, KY 42347-1121 - Phone
- (270) 504-0068
- Fax
- (270) 298-8717
- NPI assigned
- Oct 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Davis, LCSW
- Title
- Therapist/Owner
- Phone
- (270) 256-2239
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
434 Liberty St
Hartford, KY 42347-1121
Mailing address
PO Box 575
Hartford, KY 42347-0575
Phone (270) 256-2239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100440040 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200218002172 | KY | Part B Supplier - Clinic/Group Practice | 6901233691 |
Receives reassigned benefits from 1 practitioner Practice locations: Hartford, KY |
National Provider Directory
National Provider DirectoryLocations
130 E Washington St
Ste 117
Hartford, KY 42347
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Hartford, KY
- NPI 1033054796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1528601705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 575",
"city": "HARTFORD",
"state": "KY",
"postal_code": "423470575",
"telephone_number": "270-256-2239",
"fax_number": "270-298-8717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 LIBERTY ST",
"city": "HARTFORD",
"state": "KY",
"postal_code": "423471121",
"telephone_number": "270-504-0068",
"fax_number": "270-298-8717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDING MINDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "270-256-2239",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100440040",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.