Kind Mind Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KIND MIND THERAPY LLC

Practice address

101 N Main St #865
Jacksonville, OR 97530

Phone

(530) 475-2525

NPI assigned

Jul 7, 2026

Last updated

Oct 8, 2026By 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

Bliss Boutin, MANPI 1275209868

Title

Licensed Professional Counselor

Phone

(916) 799-5659

Specialties & licenses 1

Addresses

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.

• Bliss Wenker Boutin, MA

  • Professional Counselor
  • Milwaukie, OR
  • NPI 1275209868

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1871411801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975300865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST #865",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "97530",
            "telephone_number": "530-475-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND MIND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BOUTIN",
        "authorized_official_first_name": "BLISS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "916-799-5659",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yael Jones
• Owen David Jurling, LAC
• Daniel Kaylin, D.D.S.
• Tommie Janae Kell, EPDH
• Anne Edith Kellogg, LMFT
• Danielle Knight
• Sarah Larosa, LMT
• Gayle Y. Lewis, WHCNP
• Margaret Scott Allison Ley, CNM
• Teretha Lee Martinez, RN, LMT

• Mental Health Counselor in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Mental Health Counselor in Oregon

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

Verify at the official NPI Registry.