NPIMap

Organization Active NPI

Mind Above Matter, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Worth, TX
National Provider Identifier
1609286558
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MIND ABOVE MATTER, LLC
Practice address
4232 Heritage Trace Pkwy
Fort Worth, TX 76244-5375
Phone
(817) 447-3001
NPI assigned
Apr 30, 2014
Organization subpart
Yes
Parent organization
MIND ABOVE MATTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Yossi Tress
Title
President/Ceo
Phone
(732) 927-7080

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4232 Heritage Trace Pkwy
Fort Worth, TX 76244-5375

Mailing address

PO Box 1895
Burleson, TX 76097-1895
Phone (817) 447-3001

Other names 1

  • MAM Tarrant County Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ips Irving22 organizations share this tax ID, including this one
Part of
Ips Irving

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

4232 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 200-6680

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1609286558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1895",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760971895",
            "telephone_number": "817-447-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445375",
            "telephone_number": "817-447-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ABOVE MATTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIND ABOVE MATTER, LLC",
        "enumeration_date": "2014-04-30",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "TRESS",
        "authorized_official_first_name": "YOSSI",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "732-927-7080"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "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": "MAM Tarrant County Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAM Tarrant County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.