Soulmine LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOULMINE LLC

Doing business as

SoulMine Destinations

Practice address

1121 N. 5TH Street
Suite 109
Kansas City, KS 66101

Phone

(913) 303-9868

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Chandra Green, LMFTNPI 1548089709

Title

Ceo / Head Therapist & Facilitator

Phone

(913) 303-9868

Specialties & licenses 3

Addresses

Other names 1

• SoulMine Destinations 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.

• Chandra Green, LMFT

  • Marriage & Family Therapist
  • Kansas City, KS
  • NPI 1548089709
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1558180372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N. 5TH STREET",
            "address_2": "SUITE 109",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66101",
            "telephone_number": "913-303-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N. 5TH STREET",
            "address_2": "SUITE 109",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66101",
            "telephone_number": "913-303-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULMINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "CEO / HEAD THERAPIST & FACILITATOR",
        "authorized_official_telephone_number": "913-303-9868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoulMine Destinations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Sosland
• Dennis Edward Sosnovske
• Emily Soto
• Colby Perkins Souders
• Soul Care Counseling, LLC
• Dana Sous, MD
• Timothy Sowder
• Myrisha Sowell
• Abigail Elise Spaedy
• Anthony J Spaedy, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.