MIND ABOVE MATTER LLC – NPI #1215680236
Clinic/Center

MIND ABOVE MATTER LLC is an AHC clinic located in FORT WORTH, TX. NPPES has assigned the NPI number 1215680236 to MIND ABOVE MATTER LLC on January 31, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center) Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIND ABOVE MATTER LLC below.

NPI Profile for
MIND ABOVE MATTER LLC

NPI Number
1215680236
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MIND ABOVE MATTER LLC
Primary location
5500 NORRIS ST
FORT WORTH, TX 76119
Phone: (817) 447-3001 Fax:
Mailing address
2915 S BURLESON BLVD
BURLESON, TX 76028-1878
Phone: Fax:
Organization Subpart
No
Authorized Official
HILARY SOJOURNER
EXECUTIVE DIRECTOR
Phone: (817) 447-3001
Updated
Certification Date
Jan 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty
261QM0855X
- Clinic/Center / Adolescent and Children Mental Health
251S00000X
- Community/Behavioral Health
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry
163WP0807X
- Registered Nurse / Psychiatric/Mental Health, Child & Adolescent
106H00000X
- Marriage & Family Therapist
1041C0700X
- Social Worker / Clinical
101YP2500X
- Counselor / Professional
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
Y
Endpoint Location
2915 S BURLESON BLVD,
BURLESON, TX 77025-1669