NPIMap

Organization Active NPI

Mind Above Matter

  • Professional Counselor
  • Burleson, TX
National Provider Identifier
1891142063
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72179 Issued in TX
Legal business name
MIND ABOVE MATTER
Practice address
2915 S Burleson Blvd
Burleson, TX 76028-1878
Phone
(817) 447-3001
NPI assigned
May 18, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Misty Molina
Title
Business Office Director
Phone
(817) 447-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72179 TX Primary

Addresses

Primary practice location

2915 S Burleson Blvd
Burleson, TX 76028-1878

Mailing address

4232 Heritage Trace Pkwy
Fort Worth, TX 76244-5375

National Provider Directory

National Provider Directory
Tax ID family
Mind Above Matter LLC22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1891142063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 S BURLESON BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281878",
            "telephone_number": "817-447-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND ABOVE MATTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "817-447-3001"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.