Kind Mind Psychotherapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KIND MIND PSYCHOTHERAPY LLC

Practice address

65 Private Drive 1130
Espanola, NM 87532

Phone

(808) 557-4300

NPI assigned

Aug 23, 2025

Organization subpart

No

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

Authorized official

Name

Kacey Kim, LCSW, ATRNPI 1336697515

Title

Licensed Clinical Social Worker

Phone

(808) 557-4300

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kacey Reiko Christina Kim

  • Clinical Social Worker
  • Espanola, NM
  • NPI 1336697515
  NPD Authorized official

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1629956107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PRIVATE DRIVE 1130",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "808-557-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PRIVATE DRIVE 1130",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "87532",
            "telephone_number": "808-557-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND MIND PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "808-557-4300",
        "authorized_official_credential": "LCSW, ATR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbas Khan
• Muhammad Atif Khan
• Hykal R Khosravibabadi, DDS
• Kacey Reiko Christina Kim
• Olivia Kimble, FNP
• David Michael King, D.O.
• Chelsea D Kirby, MD
• Glenna Klein
• Michael John Klinger, CST
• Gary Kniffin, LPN

• Community/Behavioral Health Agency in Espanola, NM
• Providers in Espanola, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2025; 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.