Active NPI
Mind Gym LLC
Doing business as Mind Gym Neurofeedback
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1598461964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND GYM LLC
- Doing business as
- Mind Gym Neurofeedback
- Practice address
- 7222 Commerce Center Dr Ste 112
Colorado Springs, CO 80919-2631 - Phone
- (720) 290-0154
- Fax
- (720) 222-5533
- NPI assigned
- Feb 6, 2023
- Organization subpart
- Yes
- Parent organization
- MIND GYM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leroy Matticks
- Title
- Ceo
- Phone
- (720) 513-5092
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
7222 Commerce Center Dr Ste 112
Colorado Springs, CO 80919-2631
Mailing address
PO Box 21150
Boulder, CO 80308-4150
Phone (720) 290-0154
Other names 1
- Mind Gym Neurofeedback
National Provider Directory
National Provider Directory- Tax ID family
- Mind Gym LLC
- Part of
- Mind Gym LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Centennial, CO
- NPI 1134706229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1598461964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21150",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084150",
"telephone_number": "720-290-0154",
"fax_number": "720-222-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7222 COMMERCE CENTER DR STE 112",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809192631",
"telephone_number": "720-290-0154",
"fax_number": "720-222-5533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND GYM LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIND GYM LLC",
"enumeration_date": "2023-02-06",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "MATTICKS",
"authorized_official_first_name": "LEROY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-513-5092"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mind Gym Neurofeedback",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.