Mind and Matter Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIND AND MATTER THERAPY

Practice address

75 E Fort Union Blvd # 116
Midvale, UT 84047-1531

Phone

(801) 645-5790

NPI assigned

Jul 30, 2020

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael CollinsNPI 1104365204

Title

Owner

Phone

(801) 645-5790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

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.

• Rachael Collins, CMHC

  • Mental Health Counselor
  • Draper, UT
  • NPI 1104365204
  Medicare reassignment NPD Authorized official
• Alesia Wilson, LCSW, MSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1235357526
  Medicare reassignment NPD
• Cassandra Michelle Howell, LCSW

  • Clinical Social Worker
  • Herriman, UT
  • NPI 1154629962
  Medicare reassignment
• Shelby Banach, LCSW

  • Clinical Social Worker
  • Athens, GA
  • NPI 1740840883
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1841809324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 S RUSSI PL",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E FORT UNION BLVD # 116",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471531",
            "telephone_number": "801-645-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND MATTER THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-645-5790"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midvale Modern Dentistry, LLP (Midvale Modern Dentistry and Orthodontics)
• Midvale PDC PLLC (Morgan and Presley Dental)
• Courtney Millard
• Sarah Miller, MD, MPH
• Megan Jolley Milne, PHARM.D.
• Mindful Mobile Medicine LLC
• Alan Minson, PHARMD
• Mobile MBS Inc.
• Nadim Modi, DMD
• Molina Healthcare of Utah Inc

• Community/Behavioral Health Agency in Midvale, UT
• Providers in Midvale, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.