Organization Active NPI

Mind Gym Co

  • Mental Health Counselor
  • Centennial, CO
National Provider Identifier
1679108617
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND GYM CO
Practice address
8008 E Arapahoe CT Ste 100
Centennial, CO 80112-6839
Phone
(719) 457-6200
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Shelli Myles, MAC CACREP
Title
Provider
Phone
(719) 457-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8008 E Arapahoe CT Ste 100
Centennial, CO 80112-6839

Mailing address

8008 E Arapahoe CT Ste 100
Centennial, CO 80112-6839
Phone (719) 457-6200

National Provider Directory

National Provider Directory

Locations

8008 E Arapahoe Ct
Ste 100
Centennial, CO 80112
Phone (720) 290-0154

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1679108617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "719-457-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 E ARAPAHOE CT STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126839",
            "telephone_number": "719-457-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND GYM CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "719-457-6200",
        "authorized_official_credential": "MAC CACREP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.