Individual provider Active NPI

Mindi Renae Michael, MA, RBT

  • Behavior Technician
  • Harker Heights, TX
National Provider Identifier
1750004453
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
22-224038 Issued in TX
Practice address
716 Indian TRL Ste 140
Harker Heights, TX 76548-5702
Phone
(254) 213-2952
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 22-224038 TX Primary

Addresses

Primary practice location

716 Indian TRL Ste 140
Harker Heights, TX 76548-5702

Mailing address

716 Indian TRL Ste 140
Harker Heights, TX 76548-5702
Phone (254) 213-2952

Other practice location 1

213 Mill Creek Dr Ste 105A
Salado, TX 76571-6523
Phone (254) 308-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
22-224038TXMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeds Works LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

716 Indian Trl
Ste 140
Harker Heights, TX 76548
Phone (254) 213-2952

213 Mill Creek Dr
Ste 105A
Salado, TX 76571
Phone (251) 308-2028

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1750004453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL STE 140",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485702",
            "telephone_number": "254-213-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 INDIAN TRL STE 140",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765485702",
            "telephone_number": "254-213-2952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 Mill Creek Dr Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Salado",
            "state": "TX",
            "postal_code": "765716523",
            "country_code": "US",
            "telephone_number": "254-308-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MINDI",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MA, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "22-224038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.