Mind Above

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND ABOVE

Practice address

4849 Greenville Ave Ste 100-101
Dallas, TX 75206-4130

Phone

(469) 496-5695

Fax

(469) 242-9730

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Jeremy Andrew Fusco

Title

Owner & Psyvhotherapist

Phone

(469) 496-5695

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1679128367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE STE 100-101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "469-496-5695",
            "fax_number": "469-242-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 GREENVILLE AVE STE 100-101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064130",
            "telephone_number": "469-496-5695",
            "fax_number": "469-242-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ABOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER & PSYVHOTHERAPIST",
        "authorized_official_telephone_number": "469-496-5695"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

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