Organization Active NPI

Minds Matter

  • Community/Behavioral Health Agency
  • Evansville, IN
National Provider Identifier
1750993218
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MINDS MATTER
Practice address
2205 E Morgan Ave Ste 122
Evansville, IN 47711-4358
Phone
(812) 449-5407
NPI assigned
Aug 17, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Ms. Carol Gorbett
Title
Admin
Phone
(317) 370-2535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2205 E Morgan Ave Ste 122
Evansville, IN 47711-4358

Mailing address

PO Box 23432
Evansville, IN 47724-1432
Phone (812) 449-5407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210111001569 IN Part B Supplier - Clinic/Group Practice 2860805983 Receives reassigned benefits from 1 practitioner
Practice locations: Evansville, IN

National Provider Directory

National Provider Directory

Locations

2205 E Morgan Ave
Ste 122
Evansville, IN 47711
Phone (812) 449-5407

600 N Weinbach Ave
Ste 250
Evansville, IN 47711
Phone (812) 449-5407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1750993218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23432",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477241432",
            "telephone_number": "812-449-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 E MORGAN AVE STE 122",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114358",
            "telephone_number": "812-449-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "GORBETT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "317-370-2535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.