Mind Body Optimization Online, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MIND BODY OPTIMIZATION ONLINE, LLC

Practice address

5405 W 151St St
Leawood, KS 66224-8700

Phone

(682) 900-6631

Fax

(800) 416-8145

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Mr. David J Moraine, ESQ

Title

Legal Counsel

Phone

(469) 990-3626

Specialties & licenses 2

Addresses

Other names 1

• Mind Body Optimization Doing business as

Locations

Practitioners 1

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

• Chad Carson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, KS
  • NPI 1538901368
  NPD (past)

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1548069859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 VILLAGE LN STE 200",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760342948",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 W 151ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248700",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Carondelet Dr Ste 329",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144854",
            "country_code": "US",
            "telephone_number": "682-900-6631",
            "fax_number": "800-416-8145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BODY OPTIMIZATION ONLINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "MORAINE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "469-990-3626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Body Optimization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miller Rice Therapy LLC
• Elizabeth Anne Miller, PT, DPT
• Kari Miller
• Mary Amelia Miller, DPT
• Morgan Milligan
• Mindworks Psychology Group
• Minuteclinic Diagnostic of Kansas PA
• Minuteclinic Diagnostic of Kansas PA
• Minuteclinic Diagnostic of Kansas PA
• Minuteclinic Primary Care Kansas LLC

• All providers in Leawood, KS
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.