Matter of the Mind Therapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MATTER OF THE MIND THERAPY SERVICES, LLC

Practice address

1439 Eastern Ave SE Unit 2
Grand Rapids, MI 49507-2053

Phone

(616) 581-3874

NPI assigned

Mar 27, 2022

Last updated

Mar 27, 2022By 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

Mrs. Ashley Willis, LMSWNPI 1689046377

Title

Clinical Therapist

Phone

(616) 581-3874

Specialties & licenses 1

Addresses

Locations

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.

• Ashley Willis, LMSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1689046377
  NPD Authorized official

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648339200000",
    "number": "1891445326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 SUMMERVIEW CT SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168468",
            "telephone_number": "616-581-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 EASTERN AVE SE UNIT 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072053",
            "telephone_number": "616-581-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTER OF THE MIND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "616-581-3874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Matovich, PA-C
• Anthony Alan Matson, MSW
• Calvin Paul Matson, LMSW
• Ibtisam Matta, RN
• Hailey Olivia Mattar
• Molly Mattes
• Matthew D. Hudson, D.D.S., P.C. (Beltline Family Dentistry)
• Matthew Piazza D.C. PLLC
• Matthew Stoel Counseling PLLC
• Matthew Thayer (Bell Medical Supply)

• Community/Behavioral Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.