Organization Active NPI

Mind and Therapy Clinic

  • Professional Counselor
  • Prosper, TX
National Provider Identifier
1821698721
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIND AND THERAPY CLINIC
Practice address
130 N Preston Rd Ste 356
Prosper, TX 75078-9808
Phone
(972) 254-4444
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Rodrego Way, LPC, LCDCNPI 1083221311
Title
Therapist
Phone
(941) 932-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

130 N Preston Rd Ste 356
Prosper, TX 75078-9808

Mailing address

PO Box 341
Prosper, TX 75078-0341
Phone (941) 932-3886

National Provider Directory

National Provider Directory

Locations

941 N Coleman St
#341
Prosper, TX 75078

130 N Preston Rd
Ste 356
Prosper, TX 75078
Phone (941) 932-3886

941 N Coleman St
Ste 341
Prosper, TX 75078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1821698721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750780341",
            "telephone_number": "941-932-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N PRESTON RD STE 356",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789808",
            "telephone_number": "972-254-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "RODREGO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "941-932-3886",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.