MIND ABOVE MATTER LLC (NPI# 1790239648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790239648 |
| Entity Type | Organization |
| Organization Name | MIND ABOVE MATTER LLC |
| Other Organization Name | MAM KISD |
| Practice Address |
250 College Ave Keller TX 76248-3449 |
| Mailing Address |
Po Box 1058 Burleson TX 76097-1058 |
| Practice Telephone | 8174473001 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | JENNIFER KINCAID (CEO) |
| Authorized Official Telephone | 8174473001 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | MIND ABOVE MATTER LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MAM KISD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833625 | Mind Above Matter LLC | Clinic/Center | 5900 Hereford Dr, Fort Worth, TX 76179-3395 | 2020-08-25 |
| 1437760576 | Mind Above Matter LLC | Counselor | 990 Bailey Ranch Rd, Aledo, TX 76008-3209 | 2020-08-12 |
| 1891348546 | Mind Above Matter LLC | Clinic/Center | 1101 Nashville Ave, Fort Worth, TX 76105-1530 | 2019-07-22 |
| 1962062265 | Mind Above Matter LLC | Clinic/Center | 3050 Timberline Dr, Grapevine, TX 76051-3874 | 2019-06-18 |
| 1033681481 | Mind Above Matter LLC | Counselor | 1100 Raider Dr, Euless, TX 76040-6252 | 2018-12-26 |
| 1629565189 | Mind Above Matter LLC | Clinic/Center | 2400 E Seminary Dr, Fort Worth, TX 76119-5502 | 2018-04-19 |
| 1740788512 | Mind Above Matter LLC | Clinic/Center | 3816 Stadium Dr, Fort Worth, TX 76109-3712 | 2018-01-26 |
| 1801314489 | Mind Above Matter LLC | Clinic/Center | 8900 Chapin Rd, Fort Worth, TX 76116-6606 | 2017-09-05 |
| 1417587346 | Mind Above Matter LLC | Clinic/Center | 6010 Walker St, Haltom City, TX 76117-4216 | 2020-01-20 |
| 1326585803 | Mind Above Matter LLC | Social Worker | 1215 W Randol Mill Rd, Arlington, TX 76012-3113 | 2017-01-23 |
| Street Address |
250 COLLEGE AVE |
| City | KELLER |
| State | TX |
| Zip Code | 76248-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1053911776 | Wellness Work Counseling Service Pllc | Clinic/Center | 3016 Polar Ln Ste 207, Cedar Park, TX 78613-3039 | 2020-10-30 |
| 1942807250 | Chart Counseling Services Pllc | Clinic/Center | 3900 S Stonebridge Dr Ste 203, Mckinney, TX 75070-8023 | 2020-10-08 |
| 1114548831 | Integral Counseling and Wellness, LLC | Clinic/Center | 1846 Lockhill Selma Rd Ste 104, San Antonio, TX 78213-1551 | 2020-05-05 |
| 1679100986 | Sarah Douglas Cox, Lcsw Pllc | Clinic/Center | 9922 Caleb Way, Missouri City, TX 77459-6472 | 2020-03-25 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1326681354 | Evolving Mind Solutions, LLC | Clinic/Center | 4200 S Hulen St Ste 668, Fort Worth, TX 76109-4997 | 2019-10-22 |
| 1790335271 | Therathrive LLC | Clinic/Center | 601 Strada Cir Ste 102, Mansfield, TX 76063-3219 | 2019-09-16 |
| 1932754363 | Proactive Behavior & Solutions | Clinic/Center | 2626 Scenic Point, Arlington, TX 76006 | 2019-08-02 |
| 1073175576 | Remuda Ranch Counseling Services | Clinic/Center | 10333 Remuda View Dr, San Antonio, TX 78254-1759 | 2019-07-03 |
| 1366008583 | Progressive Counseling Services | Clinic/Center | 5820 34th St Apt 271, Lubbock, TX 79407-3352 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.