Active NPI
Myndfit Mental Health, LLC
Doing business as Myndfit
- Community/Behavioral Health Agency
- San Antonio, TX
National Provider Identifier
1790542611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MYNDFIT MENTAL HEALTH, LLC
- Doing business as
- Myndfit
- Practice address
- 13423 Coram Peak St
San Antonio, TX 78248-1201 - Phone
- (210) 665-3330
- NPI assigned
- Mar 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlton Thomas Fairley Jr., QMHP-CS
- Title
- Owner/Chief Executive Officer
- Phone
- (210) 665-3330
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Exclusive Provider Organization | 302F00000X | |||
| Preferred Provider Organization | 305R00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X |
Addresses
Primary practice location
13423 Coram Peak St
San Antonio, TX 78248-1201
Mailing address
13423 Coram Peak St
San Antonio, TX 78248-1201
Phone (210) 665-3330
Other names 1
- Myndfit
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1790542611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13423 CORAM PEAK ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481201",
"telephone_number": "210-665-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13423 CORAM PEAK ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481201",
"telephone_number": "210-665-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYNDFIT MENTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-06",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "FAIRLEY",
"authorized_official_first_name": "CARLTON",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "210-665-3330",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "QMHP-CS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Myndfit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Myndfit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.