Active NPI
Mind & Body Healing Collective, LLC
- Clinical Social Worker
- Lawrence, KS
National Provider Identifier
1568196459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MIND & BODY HEALING COLLECTIVE, LLC
- Practice address
- 2619 W 6TH St Ste C
Lawrence, KS 66049-4300 - Phone
- (785) 917-9473
- NPI assigned
- Jul 15, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Maisie Riley
- Title
- Manager
- Phone
- (785) 917-9473
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221206001209 | KS | Part B Supplier - Clinic/Group Practice | 7416326962 |
Receives reassigned benefits from 17 practitioners Practice locations: Lawrence, KS |
National Provider Directory
National Provider DirectoryLocations
2512 W 6th St
Ste C
Lawrence, KS 66049
Phone (785) 615-1995
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2619 W 6TH St Ste C
Lawrence, KS 66049-4300
Mailing address
2619 W 6TH St Ste C
Lawrence, KS 66049-4300
Phone (785) 917-9473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2025.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1568196459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 W 6TH ST STE C",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494300",
"telephone_number": "785-917-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 W 6TH ST STE C",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660494300",
"telephone_number": "785-917-9473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND & BODY HEALING COLLECTIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-15",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "MAISIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "785-917-9473"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.